MEDICARE: ALISON LEIGH DINN 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	505	CO

General Provider Information

NPI Number	:	1609889799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON LEIGH DINN L.AC.

Provider Business Mailing Address
First Line	:	1777 S BELLAIRE ST STE 301
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4318
Country	:	US
Telephone Number	:	303-733-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1777 S BELLAIRE ST STE 301
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4318
Country	:	US
Telephone Number	:	303-733-4500
Fax Number	:

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	08/28/2012

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