Provider Demographics
NPI:1629453998
Name:LOTURCO CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:LOTURCO CHIROPRACTIC PLLC
Other - Org Name:LOTURCO CHIROPRACTIC GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:LOTURCO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:585-770-3865
Mailing Address - Street 1:255 UNION BLVD STE 330
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1899
Mailing Address - Country:US
Mailing Address - Phone:720-476-5121
Mailing Address - Fax:720-476-5121
Practice Address - Street 1:255 UNION BLVD STE 330
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1899
Practice Address - Country:US
Practice Address - Phone:720-476-5121
Practice Address - Fax:720-476-5121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO111NX0800X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty