Provider Demographics
NPI:1033775010
Name:LUZADDER, RACHEL DAUB (DC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:DAUB
Last Name:LUZADDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:MARIA
Other - Last Name:DAUB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 BRETTON WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-3103
Mailing Address - Country:US
Mailing Address - Phone:856-630-7023
Mailing Address - Fax:
Practice Address - Street 1:509 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-3021
Practice Address - Country:US
Practice Address - Phone:609-978-6565
Practice Address - Fax:609-939-4511
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00761500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor