Provider Demographics
NPI:1376709121
Name:WADLINGTON, TRUMAN CAYLOR (LAC)
Entity Type:Individual
Prefix:MR
First Name:TRUMAN
Middle Name:CAYLOR
Last Name:WADLINGTON
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 SOUTH WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2240
Mailing Address - Country:US
Mailing Address - Phone:303-777-7891
Mailing Address - Fax:303-777-7835
Practice Address - Street 1:1305 SOUTH WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2240
Practice Address - Country:US
Practice Address - Phone:303-777-7891
Practice Address - Fax:303-777-7835
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0263171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist