Individual provider · Type 1 NPI
Lars Evert Lundstrom, DC
Chiropractor · Ventura, CA
NPI number
1114908910
Active
Practice location
2686 Johnson Dr, Suite 104
Ventura, CA 93003-7207
Fax (805) 654-1442
Mailing address
9058 Havasu St
Ventura, CA 93004-3037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 19200 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1114908910
Lars Evert Lundstrom, DC's National Provider Identifier is 1114908910, issued on Nov 8, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ventura, CA. The record was last updated on Jul 13, 2026.