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NPI Code Detail

MEDICARE: DR. MICHELLE MARIE LITZINGER D.C

MEDICARE: DR. MICHELLE MARIE LITZINGER 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
1111N00000XChiropractorDC-30870CA

General Provider Information

NPI Number : 1902062805
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE MARIE LITZINGER D.C
Provider Business Mailing Address
First Line : 4115 SOUTH ST
Second Line :
City : LAKEWOOD
State : CA
Zip : 90712-1043
Country : US
Telephone Number : 562-408-1140
Fax Number : 562-408-1141
Provider Business Practice Location Address
First Line : 4115 SOUTH ST
Second Line :
City : LAKEWOOD
State : CA
Zip : 90712-1043
Country : US
Telephone Number : 562-408-1140
Fax Number : 562-408-1141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2008
Last Update Date : 03/23/2010

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