Provider Demographics
NPI:1386851863
Name:STOFFEL, TAMARA (LAC)
Entity Type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:
Last Name:STOFFEL
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 1:3733 LIPAN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2653
Mailing Address - Country:US
Mailing Address - Phone:303-621-6275
Mailing Address - Fax:
Practice Address - Street 1:1421 YORK ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-2112
Practice Address - Country:US
Practice Address - Phone:303-621-6275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1245171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist