Healthcare Provider Details

I. General information

NPI: 1215090543
Provider Name (Legal Business Name): LIXIN ACUPUNCTURE CLINICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 08/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 LINCOLN ST SUITE 1507
DENVER CO
80203-2136
US

IV. Provider business mailing address

1120 LINCOLN ST SUITE 1507
DENVER CO
80203-2136
US

V. Phone/Fax

Practice location:
  • Phone: 303-832-7070
  • Fax: 303-830-9709
Mailing address:
  • Phone: 303-832-7070
  • Fax: 303-830-9709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number425
License Number StateCO

VIII. Authorized Official

Name: LIXIN ZHANG
Title or Position: PRESIDENT
Credential:
Phone: 303-832-7070