Provider Demographics
NPI:1336470954
Name:ALBIN, VIRGINIA DAWN (ACUPUNCTURIST, LPN)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:DAWN
Last Name:ALBIN
Suffix:
Gender:F
Credentials:ACUPUNCTURIST, LPN
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:DAWN
Other - Last Name:ALBIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC, LPN
Mailing Address - Street 1:2222 S ALBION ST STE 310
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4928
Mailing Address - Country:US
Mailing Address - Phone:720-329-7216
Mailing Address - Fax:720-536-0994
Practice Address - Street 1:2222 S ALBION ST STE 310
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4928
Practice Address - Country:US
Practice Address - Phone:720-329-7216
Practice Address - Fax:720-536-0994
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-21
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPN-46625164W00000X
COACU-1423171100000X
COCOZ-49359174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No164W00000XNursing Service ProvidersLicensed Practical Nurse
No174400000XOther Service ProvidersSpecialist