MEDICARE: DR. ANN MARGARET LAUZON D.C.

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
1	111N00000X	Chiropractor	71-3711	OR

General Provider Information

NPI Number	:	1528268596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN MARGARET LAUZON D.C.

Provider Business Mailing Address
First Line	:	8585 SW CANYON LN
Second Line	:	#82
City	:	PORTLAND
State	:	OR
Zip	:	97225-3964
Country	:	US
Telephone Number	:	503-312-5232
Fax Number	:

Provider Business Practice Location Address
First Line	:	10395 NW GLENCOE RD
Second Line	:	SUITE 500
City	:	NORTH PLAINS
State	:	OR
Zip	:	97133-8208
Country	:	US
Telephone Number	:	503-647-9944
Fax Number	:	503-647-0511

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2007
Last Update Date	:	07/30/2007

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