Healthcare Provider Details

I. General information

NPI: 1629453998
Provider Name (Legal Business Name): LOTURCO CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2015
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 UNION BLVD STE 330
LAKEWOOD CO
80228-1899
US

IV. Provider business mailing address

255 UNION BLVD STE 330
LAKEWOOD CO
80228-1899
US

V. Phone/Fax

Practice location:
  • Phone: 720-476-5121
  • Fax: 720-476-5121
Mailing address:
  • Phone: 720-476-5121
  • Fax: 720-476-5121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number
License Number StateCO

VIII. Authorized Official

Name: DR. JACOB PAUL LOTURCO
Title or Position: CHIROPRACTOR/OWNER
Credential: D.C.
Phone: 585-770-3865