Provider Demographics
NPI:1104442870
Name:POWELL-LONDONO, FELECIA DAWN (LAC, CH, DIPL OM)
Entity type:Individual
Prefix:
First Name:FELECIA
Middle Name:DAWN
Last Name:POWELL-LONDONO
Suffix:
Gender:F
Credentials:LAC, CH, DIPL OM
Other - Prefix:
Other - First Name:F.
Other - Middle Name:DAWN
Other - Last Name:POWELL-LONDONO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC, CH, DIPL OM
Mailing Address - Street 1:8249 ZEPHYR ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-2571
Mailing Address - Country:US
Mailing Address - Phone:303-547-7451
Mailing Address - Fax:
Practice Address - Street 1:8249 ZEPHYR ST
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-2571
Practice Address - Country:US
Practice Address - Phone:303-547-7451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-18
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist