Provider Demographics
NPI:1023016938
Name:ELKIND, LAUREN (DC)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:ELKIND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 S BROADWAY
Mailing Address - Street 2:STE. 309
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5295
Mailing Address - Country:US
Mailing Address - Phone:925-952-9566
Mailing Address - Fax:925-952-9568
Practice Address - Street 1:800 S BROADWAY
Practice Address - Street 2:STE. 309
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5295
Practice Address - Country:US
Practice Address - Phone:925-952-9566
Practice Address - Fax:925-952-9568
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 28065111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0280650Medicare PIN