Provider Demographics
NPI:1255650057
Name:LYNCH SASSON, JULIE E (DC)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:E
Last Name:LYNCH SASSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:E
Other - Last Name:LYNCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 1598
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29465-1598
Mailing Address - Country:US
Mailing Address - Phone:650-380-3026
Mailing Address - Fax:
Practice Address - Street 1:786 JOHNNIE DODDS BLVD STE A
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3047
Practice Address - Country:US
Practice Address - Phone:843-800-0668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4261111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor