| Organization Name: | DR. ELIZA KEARMAN, ND, LAC, INC. |
| NPI Number: | 1124393244 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZA KLEARMAN (OWNER) |
| Mailing Address: | 403 Broadway St Eagle |
| State: | CO US |
| Postal Code: | 816311265 |
| Phone Number: | 9703285678 |
| Fax Number: | |
| NPI Enumeration Date: | 03/22/2012 |
| NPI Last Update Date: | 03/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 6363 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |