MEDICARE: LORI K. WILLIAMS 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	1222	CO

General Provider Information

NPI Number	:	1972667483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI K. WILLIAMS L.AC.

Provider Business Mailing Address
First Line	:	1415 FRANKLIN ST APT 1
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-2430
Country	:	US
Telephone Number	:	303-995-5300
Fax Number	:

Provider Business Practice Location Address
First Line	:	2207 W COLORADO AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80904-3324
Country	:	US
Telephone Number	:	719-633-4110
Fax Number	:

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

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	07/08/2007

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