Provider Demographics
NPI:1508066481
Name:NOVOTNY, DEBRA K (LAC)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:K
Last Name:NOVOTNY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:DEBRA
Other - Middle Name:K
Other - Last Name:ARKO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10638 W PEAKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127
Mailing Address - Country:US
Mailing Address - Phone:303-989-2727
Mailing Address - Fax:303-948-2094
Practice Address - Street 1:10638 W PEAKVIEW DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-2500
Practice Address - Country:US
Practice Address - Phone:303-989-2727
Practice Address - Fax:303-922-8839
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO479171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist