Provider Demographics
NPI:1134313109
Name:LABARGE, JUDITH MARIE-LINDA (DC)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:MARIE-LINDA
Last Name:LABARGE
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 PALM TRL
Mailing Address - Street 2:210
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5877
Mailing Address - Country:US
Mailing Address - Phone:561-272-2228
Mailing Address - Fax:
Practice Address - Street 1:800 PALM TRL
Practice Address - Street 2:SUITE 210
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5877
Practice Address - Country:US
Practice Address - Phone:561-272-2228
Practice Address - Fax:561-272-2240
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9825111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor