Provider Demographics
NPI:1700281862
Name:SAIDMAN-IRELAND, DEBRA LEYA (LAC)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:LEYA
Last Name:SAIDMAN-IRELAND
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 1:1918 SOUTH LEMAY AVEUNE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-1295
Mailing Address - Country:US
Mailing Address - Phone:970-444-2284
Mailing Address - Fax:970-221-0982
Practice Address - Street 1:1918 SOUTH LEMAY AVEUNE
Practice Address - Street 2:SUITE A
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-1295
Practice Address - Country:US
Practice Address - Phone:970-444-2284
Practice Address - Fax:970-221-0982
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-30
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1753171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist