Provider Demographics
NPI:1770546996
Name:HOROWITZ, DIANA (MS, LAC)
Entity type:Individual
Prefix:MS
First Name:DIANA
Middle Name:
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4730 W 37TH AVE
Mailing Address - Street 2:#30
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2059
Mailing Address - Country:US
Mailing Address - Phone:303-561-4945
Mailing Address - Fax:
Practice Address - Street 1:3867 TENNYSON ST
Practice Address - Street 2:STE D
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-2157
Practice Address - Country:US
Practice Address - Phone:720-404-9926
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO938171100000X
NY002503171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist