Provider Demographics
NPI:1811053564
Name:AN, NAK HYUN (LAC)
Entity type:Individual
Prefix:MR
First Name:NAK
Middle Name:HYUN
Last Name:AN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3102 S PARKER RD STE A4
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3176
Mailing Address - Country:US
Mailing Address - Phone:303-755-1516
Mailing Address - Fax:
Practice Address - Street 1:3102 S PARKER RD STE A4
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3176
Practice Address - Country:US
Practice Address - Phone:303-755-1516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1128171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist