Provider Demographics
NPI:1235282161
Name:LAHN, RACHEL (DC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:LAHN
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:PO BOX 323
Mailing Address - Street 2:
Mailing Address - City:COMPTCHE
Mailing Address - State:CA
Mailing Address - Zip Code:95427-0323
Mailing Address - Country:US
Mailing Address - Phone:707-937-1165
Mailing Address - Fax:
Practice Address - Street 1:10551 KASTIN ST
Practice Address - Street 2:
Practice Address - City:MENDOCINO
Practice Address - State:CA
Practice Address - Zip Code:95460
Practice Address - Country:US
Practice Address - Phone:707-937-1165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20672111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor