Provider Demographics
NPI:1417250929
Name:TSAI, SHWU-YAR (LAC)
Entity Type:Individual
Prefix:
First Name:SHWU-YAR
Middle Name:
Last Name:TSAI
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 1:200 UNION BLVD
Mailing Address - Street 2:SUITE 440
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1830
Mailing Address - Country:US
Mailing Address - Phone:303-953-5200
Mailing Address - Fax:303-953-5517
Practice Address - Street 1:200 UNION BLVD
Practice Address - Street 2:SUITE 440
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1830
Practice Address - Country:US
Practice Address - Phone:303-953-5200
Practice Address - Fax:303-953-5517
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO1490171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist