Individual provider · Type 1 NPI
Derek Lane Boudreaux, DC
Chiropractor · Mill Valley, CA
Practice location
150 Shoreline Hwy Ste 33
Mill Valley, CA 94941-3639
Fax (415) 634-1300
Mailing address
150 Shoreline Hwy Bldg C, #33
Mill Valley, CA 94941-3639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC31309 (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 1669640819
Derek Lane Boudreaux, DC's National Provider Identifier is 1669640819, issued on Feb 11, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mill Valley, CA. The record was last updated on Aug 19, 2026.