MEDICARE: LYNN NORBERG

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	620	CO

General Provider Information

NPI Number	:	1902025356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN NORBERG

Provider Business Mailing Address
First Line	:	2919 VALMONT RD
Second Line	:	SUITE 109
City	:	BOULDER
State	:	CO
Zip	:	80301-1350
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2919 VALMONT RD
Second Line	:	SUITE 109
City	:	BOULDER
State	:	CO
Zip	:	80301-1350
Country	:	US
Telephone Number	:	303-447-3030
Fax Number	:

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

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/08/2007

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Directions to “ LYNN NORBERG ” Practice Location

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