Provider Demographics
NPI:1144232802
Name:FRIEDMANN, LILLIAN RACHEL (DC)
Entity Type:Individual
Prefix:DR
First Name:LILLIAN
Middle Name:RACHEL
Last Name:FRIEDMANN
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 1:3412 GRIFFIN RD
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-5564
Mailing Address - Country:US
Mailing Address - Phone:954-842-3091
Mailing Address - Fax:
Practice Address - Street 1:3412 GRIFFIN RD
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-5564
Practice Address - Country:US
Practice Address - Phone:954-842-3091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9173111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL61498OtherBCBSF