Provider Demographics
NPI:1740321876
Name:ELLINGER, DENISE (LAC)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:ELLINGER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
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Mailing Address - Street 1:1777 S BELLAIRE ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4306
Mailing Address - Country:US
Mailing Address - Phone:303-377-3201
Mailing Address - Fax:303-757-0505
Practice Address - Street 1:1777 S BELLAIRE ST
Practice Address - Street 2:SUITE 102
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4306
Practice Address - Country:US
Practice Address - Phone:303-377-3201
Practice Address - Fax:303-757-0505
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO773171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist