Provider Demographics
NPI:1083784300
Name:LAKANEN, SIGRID KATZENBERGER (DC)
Entity Type:Individual
Prefix:DR
First Name:SIGRID
Middle Name:KATZENBERGER
Last Name:LAKANEN
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 1:155 SW CENTURY DR STE 111
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1657
Mailing Address - Country:US
Mailing Address - Phone:541-797-6224
Mailing Address - Fax:
Practice Address - Street 1:155 SW CENTURY DR STE 111
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1657
Practice Address - Country:US
Practice Address - Phone:541-797-6224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR713364111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR181954Medicaid
OR181954Medicaid
U49807Medicare UPIN