Healthcare Provider Details

I. General information

NPI: 1265494017
Provider Name (Legal Business Name): JUDITH C LEMIEUX M.S., L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JUDITH C SAXE M.S., L.AC.

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3071 W CLYDE PL
DENVER CO
80211-2718
US

IV. Provider business mailing address

3071 W CLYDE PL
DENVER CO
80211-2718
US

V. Phone/Fax

Practice location:
  • Phone: 303-964-1996
  • Fax:
Mailing address:
  • Phone: 303-964-1996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberACU-959
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: