Provider Demographics
NPI:1760795876
Name:SANDERS-RONDEAU, CINDY LOU (LAC)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:LOU
Last Name:SANDERS-RONDEAU
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:PO BOX 2211
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-2260
Mailing Address - Country:US
Mailing Address - Phone:719-964-6160
Mailing Address - Fax:
Practice Address - Street 1:13570 MEADOWGRASS DR STE 105-13
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-3057
Practice Address - Country:US
Practice Address - Phone:719-964-6160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-17
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1017171100000X
COACU.0002392171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COACU.0002392OtherSTATE LICENSE
117894OtherDIPL. O.M. (NCCAOM BOARD CERTIFICATION)