Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | X012063-1 | NY |
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 7271 | CO |
NPI | 1811207749 |
---|---|
Provider Name | Dr. Jacob Paul Loturco |
First Address | Lakewood, CO 80228-1899 |
Second Address | Lakewood, CO 80228-1899 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2010 |
Last Update Date | 11/06/2019 |