Provider Demographics
NPI:1679827323
Name:DALTON, LEANNE M (DC)
Entity type:Individual
Prefix:DR
First Name:LEANNE
Middle Name:M
Last Name:DALTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2226 S FRASER ST
Mailing Address - Street 2:UNIT 5
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4533
Mailing Address - Country:US
Mailing Address - Phone:303-695-1609
Mailing Address - Fax:
Practice Address - Street 1:2226 S FRASER ST
Practice Address - Street 2:UNIT 5
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4533
Practice Address - Country:US
Practice Address - Phone:303-695-1609
Practice Address - Fax:303-695-0382
Is Sole Proprietor?:No
Enumeration Date:2012-11-02
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0006924111N00000X
CO2786079171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist