Provider Demographics
NPI:1447419346
Name:SENDEROFF, LYNN ELLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:ELLEN
Last Name:SENDEROFF
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 1:39 JACKSON DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-7110
Mailing Address - Country:US
Mailing Address - Phone:203-301-0858
Mailing Address - Fax:
Practice Address - Street 1:39 JACKSON DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-7110
Practice Address - Country:US
Practice Address - Phone:203-301-0858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000595111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor