Provider Demographics
NPI:1023434206
Name:PROCTOR, MARGARET (LAC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:PROCTOR
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10587 W MAPLEWOOD DR #E
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-5505
Mailing Address - Country:US
Mailing Address - Phone:720-352-8287
Mailing Address - Fax:720-523-1635
Practice Address - Street 1:6169 S BALSAM WAY #290
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3062
Practice Address - Country:US
Practice Address - Phone:303-932-7957
Practice Address - Fax:303-933-8271
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-11
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001986171100000X
CO1986171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist