MEDICARE: DR. RICHARD ERNEST LIND 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	13594	CA

General Provider Information

NPI Number	:	1861415309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD ERNEST LIND D.C.

Provider Business Mailing Address
First Line	:	712 E LINCOLN AVE
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92865-1808
Country	:	US
Telephone Number	:	714-998-8650
Fax Number	:	714-998-8281

Provider Business Practice Location Address
First Line	:	712 E LINCOLN AVE
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92865-1808
Country	:	US
Telephone Number	:	714-998-8650
Fax Number	:	714-998-8281

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	07/08/2007

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