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NPI Code Detail

MEDICARE: DR. DAN LORD DC

MEDICARE: DR. DAN LORD DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC31306CA

General Provider Information

NPI Number : 1043546120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAN LORD DC
Provider Business Mailing Address
First Line : PO BOX 1848
Second Line :
City : NOVATO
State : CA
Zip : 94948-1848
Country : US
Telephone Number : 415-897-9195
Fax Number :
Provider Business Practice Location Address
First Line : 246 FIRST ST
Second Line : SUITE 101
City : SAN FRANCISCO
State : CA
Zip : 94105-2636
Country : US
Telephone Number : 415-495-2225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2009
Last Update Date : 10/26/2009

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Directions to “ DR. DAN LORD DC” Practice Location

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