Provider Demographics
NPI:1518199009
Name:LA ROSA, CHRIS FRANK (DIPL, AC)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:FRANK
Last Name:LA ROSA
Suffix:
Gender:M
Credentials:DIPL, AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3810 NEWPORT LN
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-1049
Mailing Address - Country:US
Mailing Address - Phone:720-435-8281
Mailing Address - Fax:
Practice Address - Street 1:3810 NEWPORT LN
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-1049
Practice Address - Country:US
Practice Address - Phone:720-435-8281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO292171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist