Provider Demographics
NPI:1588947584
Name:HAHN, JACQUELYN MARIE (L AC, DIPL OM)
Entity type:Individual
Prefix:
First Name:JACQUELYN
Middle Name:MARIE
Last Name:HAHN
Suffix:
Gender:F
Credentials:L AC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4450 LOWELL BLVD
Mailing Address - Street 2:APT 1
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-1369
Mailing Address - Country:US
Mailing Address - Phone:303-960-2607
Mailing Address - Fax:
Practice Address - Street 1:1441 YORK ST
Practice Address - Street 2:SUITE 303A
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-2157
Practice Address - Country:US
Practice Address - Phone:303-960-2607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU-1666171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist