Healthcare Provider Details

I. General information

NPI: 1619930039
Provider Name (Legal Business Name): VALERIE LYNN HOBBS L. AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

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

III. Provider practice location address

740 BLUEGRASS DR
LONGMONT CO
80503-7669
US

IV. Provider business mailing address

740 BLUEGRASS DR
LONGMONT CO
80503-7669
US

V. Phone/Fax

Practice location:
  • Phone: 303-684-9319
  • Fax: 303-581-9944
Mailing address:
  • Phone: 303-684-9319
  • Fax: 303-581-9944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number285
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: