Provider Demographics
NPI:1003986365
Name:LEMIEUX, CELINE H (DC)
Entity Type:Individual
Prefix:
First Name:CELINE
Middle Name:H
Last Name:LEMIEUX
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CELINE
Other - Middle Name:LEMIEUX
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1525 LAPALCO BLVD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-5738
Mailing Address - Country:US
Mailing Address - Phone:504-227-0272
Mailing Address - Fax:504-227-0275
Practice Address - Street 1:1525 LAPALCO BLVD
Practice Address - Street 2:SUITE 12
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-5738
Practice Address - Country:US
Practice Address - Phone:504-227-0272
Practice Address - Fax:504-227-0275
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA655111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAG3788OtherBLUE CROSS PROVIDER
LA721236014OtherTAX IDENTIFICATION NUMBER
LA1951081Medicaid
LA350049748OtherRAILROAD MEDICARE
LAG3788OtherBLUE CROSS PROVIDER
LA721236014OtherTAX IDENTIFICATION NUMBER
LA59061Medicare ID - Type UnspecifiedDOCTOR NUMBER