MEDICARE: MELISSA MAYUMI SAWYER L.AC

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	ACU.0002562	CO

General Provider Information

NPI Number	:	1538816426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MAYUMI SAWYER L.AC

Provider Business Mailing Address
First Line	:	4753 S SWADLEY ST
Second Line	:
City	:	MORRISON
State	:	CO
Zip	:	80465-1925
Country	:	US
Telephone Number	:	716-523-7482
Fax Number	:

Provider Business Practice Location Address
First Line	:	645 E EVANS AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-4458
Country	:	US
Telephone Number	:	720-523-3351
Fax Number	:

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

Provider Enumeration Date	:	03/09/2022
Last Update Date	:	03/09/2022

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