Provider Demographics
NPI:1003350174
Name:LEWIS-BURNS, TAMRA (LAC, DIPLAC)
Entity Type:Individual
Prefix:MRS
First Name:TAMRA
Middle Name:
Last Name:LEWIS-BURNS
Suffix:
Gender:F
Credentials:LAC, DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 OAK LN
Mailing Address - Street 2:
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81611-2186
Mailing Address - Country:US
Mailing Address - Phone:970-315-2445
Mailing Address - Fax:
Practice Address - Street 1:320 W MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-1614
Practice Address - Country:US
Practice Address - Phone:970-315-2445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-08
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU.0002233171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist