Provider Demographics
NPI:1295033447
Name:LEE, BARBARA (LAC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14097 E STANFORD CIR APT 207
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1039
Mailing Address - Country:US
Mailing Address - Phone:303-693-6430
Mailing Address - Fax:
Practice Address - Street 1:7450 S GARTRELL RD UNIT A1
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-2439
Practice Address - Country:US
Practice Address - Phone:303-693-8901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1620171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist