Provider Demographics
NPI:1154613404
Name:PRESSON, CONNIE MICHELE (L AC)
Entity type:Individual
Prefix:DR
First Name:CONNIE
Middle Name:MICHELE
Last Name:PRESSON
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1245 N HUMBOLDT ST APT 201
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-2441
Mailing Address - Country:US
Mailing Address - Phone:303-885-4816
Mailing Address - Fax:
Practice Address - Street 1:1776 S JACKSON ST STE 412
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3807
Practice Address - Country:US
Practice Address - Phone:303-761-3208
Practice Address - Fax:303-761-3208
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1553171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1558730606OtherCOMMERCIAL INSURANCE