Individual provider · Type 1 NPI
Lucas Odahlen, DC
Chiropractor · Lake Elsinore, CA
NPI number
1881734952
Active
Practice location
31942 Mission Trl
Lake Elsinore, CA 92530-4539
Fax (951) 674-7004
Mailing address
24875 Prielipp Rd Unit 214
Wildomar, CA 92595-7792
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 30328 (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 1881734952
Lucas Odahlen, DC's National Provider Identifier is 1881734952, issued on Feb 7, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lake Elsinore, CA. The record was last updated on Jul 8, 2007.