Provider Demographics
NPI:1336444330
Name:COOLEY, SYDNEY LYNN (L AC)
Entity type:Individual
Prefix:MS
First Name:SYDNEY
Middle Name:LYNN
Last Name:COOLEY
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:555 RIVERGATE LN SUITE B2-134
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-7473
Mailing Address - Country:US
Mailing Address - Phone:970-426-8736
Mailing Address - Fax:970-764-4099
Practice Address - Street 1:555 RIVERGATE LN SUITE B2-134
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-7473
Practice Address - Country:US
Practice Address - Phone:970-426-8736
Practice Address - Fax:970-764-4099
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-21
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1161171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist