Healthcare Provider Details

I. General information

NPI: 1750551354
Provider Name (Legal Business Name): AMRIT LENT, D.C., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2008
Last Update Date: 03/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1918 PINE ST
BOULDER CO
80302-4405
US

IV. Provider business mailing address

1918 PINE ST
BOULDER CO
80302-4405
US

V. Phone/Fax

Practice location:
  • Phone: 303-545-6833
  • Fax:
Mailing address:
  • Phone: 303-545-6833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4060
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. PAULA ANN LENT
Title or Position: PRESIDENT
Credential: D.C.
Phone: 303-545-6833