Provider Demographics
NPI:1821305806
Name:EMERSON, ERIN CHRISTINE (LAC)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:CHRISTINE
Last Name:EMERSON
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 1:3319 W MONCRIEFF PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3163
Mailing Address - Country:US
Mailing Address - Phone:303-931-0811
Mailing Address - Fax:
Practice Address - Street 1:3319 W MONCRIEFF PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3163
Practice Address - Country:US
Practice Address - Phone:303-931-0811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-11
Last Update Date:2010-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1612171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist