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NPI Code Detail

MEDICARE: LESLIE JEAN KANCIR L.AC.

MEDICARE:   LESLIE JEAN KANCIR  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
1171100000XAcupuncturist949CO

General Provider Information

NPI Number : 1841450285
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE JEAN KANCIR L.AC.
Provider Business Mailing Address
First Line : 7500 W MISSISSIPPI AVE
Second Line : SUITE B120
City : LAKEWOOD
State : CO
Zip : 80226-4550
Country : US
Telephone Number : 303-358-5596
Fax Number :
Provider Business Practice Location Address
First Line : 7500 W MISSISSIPPI AVE
Second Line : SUITE B120
City : LAKEWOOD
State : CO
Zip : 80226-4550
Country : US
Telephone Number : 303-358-5596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2008
Last Update Date : 06/10/2008

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Directions to “ LESLIE JEAN KANCIR L.AC.” Practice Location

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