Provider Demographics
NPI:1700916368
Name:MORGAN, NANCY COHN (LAC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:COHN
Last Name:MORGAN
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 1:2232 N 7TH ST
Mailing Address - Street 2:SUITE 16
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-7459
Mailing Address - Country:US
Mailing Address - Phone:970-279-5396
Mailing Address - Fax:970-254-0902
Practice Address - Street 1:2232 N 7TH ST
Practice Address - Street 2:SUITE 16
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-7459
Practice Address - Country:US
Practice Address - Phone:970-279-5396
Practice Address - Fax:970-254-0902
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO259171100000X
MT60171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist