Provider Demographics
NPI:1962975821
Name:TURRE, JEFFREY ROGER (LAC)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:ROGER
Last Name:TURRE
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 1:355 1/2 SCHOOL RIDGE RD APT B
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81507-2672
Mailing Address - Country:US
Mailing Address - Phone:970-783-8201
Mailing Address - Fax:
Practice Address - Street 1:2497 POWER RD UNIT 1
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81507-3085
Practice Address - Country:US
Practice Address - Phone:970-783-8201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0002448171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist