1659661270 NPI number — AMORETTE ANGELICA LAFRANCHI L.AC., MSOM, DIPL.OM

Table of content: AMORETTE ANGELICA LAFRANCHI L.AC., MSOM, DIPL.OM (NPI 1659661270)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659661270 NPI number — AMORETTE ANGELICA LAFRANCHI L.AC., MSOM, DIPL.OM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAFRANCHI
Provider First Name:
AMORETTE
Provider Middle Name:
ANGELICA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
L.AC., MSOM, DIPL.OM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DELGADO
Provider Other First Name:
AMORETTE
Provider Other Middle Name:
ANGELICA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
L.AC., MSOM, DIPL.OM
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1659661270
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/25/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4125 47TH ST UNIT C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOULDER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80301-1761
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-908-1893
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2760 29TH ST
Provider Second Line Business Practice Location Address:
SUITE 2B
Provider Business Practice Location Address City Name:
BOULDER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80301-1214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-908-1893
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/15/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  CO-ACU-1651 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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