Provider Demographics
NPI:1922441534
Name:TALLOW, ROBBIN LOUISE (L AC)
Entity Type:Individual
Prefix:
First Name:ROBBIN
Middle Name:LOUISE
Last Name:TALLOW
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 W 120TH AVE
Mailing Address - Street 2:STE. 211
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2708
Mailing Address - Country:US
Mailing Address - Phone:720-732-7720
Mailing Address - Fax:
Practice Address - Street 1:1333 W 120TH AVE
Practice Address - Street 2:STE. 211
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2708
Practice Address - Country:US
Practice Address - Phone:720-732-7720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU.0001879171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist