Provider Demographics
NPI:1477884534
Name:MCLEOD, BECKIE OLIVIA (LAC)
Entity Type:Individual
Prefix:
First Name:BECKIE
Middle Name:OLIVIA
Last Name:MCLEOD
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 1:8249 N DELBERT RD
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-6705
Mailing Address - Country:US
Mailing Address - Phone:303-332-3783
Mailing Address - Fax:
Practice Address - Street 1:19555 E PARKER SQUARE DR STE 207
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7304
Practice Address - Country:US
Practice Address - Phone:303-332-3783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1471171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist