MEDICARE: ANNE A CHEW LAC, DOM, MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	447	CO

General Provider Information

NPI Number	:	1205997426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE A CHEW LAC, DOM, MA

Provider Business Mailing Address
First Line	:	5039 S FEDERAL BLVD STE 6
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-6374
Country	:	US
Telephone Number	:	303-794-9505
Fax Number	:	303-797-9252

Provider Business Practice Location Address
First Line	:	5039 S FEDERAL BLVD STE 6
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-6374
Country	:	US
Telephone Number	:	303-794-9505
Fax Number	:	303-797-9252

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	07/08/2007

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