Provider Demographics
NPI:1558440511
Name:LEMARR, STEPHEN ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:ALAN
Last Name:LEMARR
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 1:23016 FRIAR ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-1605
Mailing Address - Country:US
Mailing Address - Phone:818-571-8069
Mailing Address - Fax:310-450-8973
Practice Address - Street 1:322 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:CA
Practice Address - Zip Code:90291-2632
Practice Address - Country:US
Practice Address - Phone:310-450-8002
Practice Address - Fax:310-450-8973
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27344111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU85341Medicare UPIN