Provider Demographics
NPI:1316117237
Name:RUKA, DEBRA KAY (LAC)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:KAY
Last Name:RUKA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7824 PARK MEADOWS DR
Mailing Address - Street 2:#100
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-2567
Mailing Address - Country:US
Mailing Address - Phone:303-799-9883
Mailing Address - Fax:
Practice Address - Street 1:7824 PARK MEADOWS DR
Practice Address - Street 2:#100
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2567
Practice Address - Country:US
Practice Address - Phone:303-799-9883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1340171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist