Harold Lee Laue in West Covina - Chiropractor

Harold Lee Laue - NPI 1124009089

Harold Lee Laue is a Chiropractor in West Covina, California. Harold Lee Laue practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Harold Lee Laue is 1124009089. The last update date is 2011-11-10.

Harold Lee Laue's current location address is 855 N Lark Ellen Ave, West Covina, California. You can contact this provider via phone number 6263395437 and fax number 6263399978. The mailing address for Harold Lee Laue is 855 N Lark Ellen Ave, West Covina, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Harold Lee Laue
Address 855 N Lark Ellen Ave, West Covina, California
Phone Number 6263395437
Fax Number 6263399978
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1124009089
Provider Enumeration Date 2005-11-08
Last Updated Date 2011-11-10

Provider Mailing Address Detail

Address 855 N Lark Ellen Ave
City West Covina
State California (CA)
Post Code 917911099
Phone Number 6263395437
Fax Number 6263399978

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 19888DC
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
95-4392944 CA FEDERAL TAX ID

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FAQs about Harold Lee Laue

What is the unique 10-digit identifier code assigned to Harold Lee Laue by the Centers for Medicare & Medicaid Services?

The Harold Lee Laue has been issued the NPI (National Provider Identifier) 1124009089 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Harold Lee Laue's facilities are geographically located?

The facilities of Harold Lee Laue are physically situated at the following location: 855 N Lark Ellen Ave, West Covina, CA, 917911099.

What is the Harold Lee Laue's area of specialization and corresponding taxonomy classification?

The Harold Lee Laue's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.

On what date did Harold Lee Laue receive its 1124009089 assignment from the Centers for Medicare & Medicaid Services?

The Harold Lee Laue was assigned its 1124009089 on 2005-11-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Harold Lee Laue most recently updated or revised?

The information pertaining to Harold Lee Laue, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-10.

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