Provider Demographics
NPI:1780977074
Name:VICTORY, BRANDY LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:LYNN
Last Name:VICTORY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 HOMESTEAD ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-9416
Mailing Address - Country:US
Mailing Address - Phone:303-619-7766
Mailing Address - Fax:
Practice Address - Street 1:401 E CLEVELAND ST STE C
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2399
Practice Address - Country:US
Practice Address - Phone:303-619-7766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30312111NN1001X
COCHR.0007265133NN1002X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education