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NPI Code Detail

MEDICARE: DR. LINDSAY WOOD GARDNER D.C.

MEDICARE: DR. LINDSAY WOOD GARDNER 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-31304CA

General Provider Information

NPI Number : 1972831956
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDSAY WOOD GARDNER D.C.
Provider Business Mailing Address
First Line : 2029 VERDUGO BLVD
Second Line : #116
City : MONTROSE
State : CA
Zip : 91020-1626
Country : US
Telephone Number : 818-495-3117
Fax Number : 818-495-3012
Provider Business Practice Location Address
First Line : 3527 OCEAN VIEW BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91208-1211
Country : US
Telephone Number : 818-495-3117
Fax Number : 818-495-3012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2009
Last Update Date : 04/14/2010

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