Provider Demographics
NPI:1780043885
Name:LUTHER, JENNIFER G (LAC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:G
Last Name:LUTHER
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 1:7955 E ARAPAHOE CT
Mailing Address - Street 2:SUITE 1050
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1358
Mailing Address - Country:US
Mailing Address - Phone:720-507-1705
Mailing Address - Fax:
Practice Address - Street 1:7955 E ARAPAHOE CT
Practice Address - Street 2:SUITE 1050
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1358
Practice Address - Country:US
Practice Address - Phone:720-507-1705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU.0002107171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist