Provider Demographics
NPI:1467888404
Name:LABAU, CHRISTIAN JEAN-LOUIS (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:JEAN-LOUIS
Last Name:LABAU
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 1:25005 BLUE RAVINE RD STE 130
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-5706
Mailing Address - Country:US
Mailing Address - Phone:916-539-9308
Mailing Address - Fax:
Practice Address - Street 1:25005 BLUE RAVINE RD STE 130
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-5706
Practice Address - Country:US
Practice Address - Phone:916-539-9308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-23
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32708111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor