Provider Demographics
NPI:1508814930
Name:WOODWARD, RICHARD D (LAC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:D
Last Name:WOODWARD
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 1:6857 S HILL ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-3616
Mailing Address - Country:US
Mailing Address - Phone:303-330-1023
Mailing Address - Fax:
Practice Address - Street 1:6857 S HILL ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-3616
Practice Address - Country:US
Practice Address - Phone:303-330-1023
Practice Address - Fax:720-283-3800
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO795171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist