Provider Demographics
NPI:1528141397
Name:DESMARAIS, LUCIE (LAC)
Entity type:Individual
Prefix:MISS
First Name:LUCIE
Middle Name:
Last Name:DESMARAIS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MISS
Other - First Name:LUCIE
Other - Middle Name:
Other - Last Name:DESMARAIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DIPLOMATE ACUPUNCTUR
Mailing Address - Street 1:1780 S BELLAIRE ST
Mailing Address - Street 2:485
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4307
Mailing Address - Country:US
Mailing Address - Phone:303-282-9000
Mailing Address - Fax:303-584-9269
Practice Address - Street 1:1780 S BELLAIRE ST
Practice Address - Street 2:485
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4307
Practice Address - Country:US
Practice Address - Phone:303-282-9000
Practice Address - Fax:303-584-9269
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO492171100000X
COCO 492171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist