Lawrence Dieter in San Luis Obispo - Sports Physician
Lawrence Dieter - NPI 1225119233
Lawrence Dieter is a Sports Physician in San Luis Obispo, California. Lawrence Dieter practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Lawrence Dieter is 1225119233. The last update date is 2015-11-30.
Lawrence Dieter's current location address is Po Box 15858, San Luis Obispo, California. You can contact this provider via phone number 8055440237. The mailing address for Lawrence Dieter is Po Box 15858, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Dieter |
|---|---|
| Address | Po Box 15858, San Luis Obispo, California |
| Phone Number | 8055440237 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1225119233 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2015-11-30 |
Provider Mailing Address Detail
| Address | Po Box 15858 |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934065858 |
| Phone Number | 8055440237 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 20076 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique identification code assigned to Lawrence Dieter by the Centers for Medicare & Medicaid Services?
The Lawrence Dieter has been issued the NPI (National Provider Identifier) 1225119233. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lawrence Dieter's physical address?
The Lawrence Dieter is physically located at Po Box 15858, in the city of San Luis Obispo, CA, with the postal code 934065858.
What is the area of specialization for Lawrence Dieter, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lawrence Dieter is Sports Physician, and the corresponding taxonomy code that categorizes this area of expertise is 111Ns0005X.
When did the Lawrence Dieter receive its 1225119233?
The Lawrence Dieter was issued its 1225119233 on 2006-10-17, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Lawrence Dieter, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lawrence Dieter, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-11-30.