Provider Demographics
NPI:1841315801
Name:MCLEMORE, JENNIFER M (LAC, DIPL OM)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:M
Last Name:MCLEMORE
Suffix:
Gender:F
Credentials:LAC, DIPL OM
Other - Prefix:
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Mailing Address - Street 1:2955 VALMONT RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1396
Mailing Address - Country:US
Mailing Address - Phone:303-494-3992
Mailing Address - Fax:303-442-2816
Practice Address - Street 1:2955 VALMONT RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1396
Practice Address - Country:US
Practice Address - Phone:303-494-3992
Practice Address - Fax:303-442-2816
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO1058171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist