Healthcare Provider Details

I. General information

NPI: 1053645325
Provider Name (Legal Business Name): DAWNA GIBRANA ARA L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2009
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6885 TUTT BLVD
COLORADO SPRINGS CO
80923-3687
US

IV. Provider business mailing address

4588 OUTLOOK RIDGE TRL
COLORADO SPRINGS CO
80924-4503
US

V. Phone/Fax

Practice location:
  • Phone: 310-429-7029
  • Fax:
Mailing address:
  • Phone: 310-429-7029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberACU.0002803
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number13135
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: