Provider Demographics
NPI:1295029288
Name:FEINMAN, LAWRENCE M (DC)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:M
Last Name:FEINMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 MAIN STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:FREDERICK
Mailing Address - State:CO
Mailing Address - Zip Code:80530-0858
Mailing Address - Country:US
Mailing Address - Phone:303-833-1500
Mailing Address - Fax:
Practice Address - Street 1:630 MAIN STREET
Practice Address - Street 2:SUITE A
Practice Address - City:FREDERICK
Practice Address - State:CO
Practice Address - Zip Code:80530-0858
Practice Address - Country:US
Practice Address - Phone:303-833-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4399111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor