Provider Demographics
NPI:1568694263
Name:LAWSON-HENZE, ARDEN P (DC)
Entity Type:Individual
Prefix:DR
First Name:ARDEN
Middle Name:P
Last Name:LAWSON-HENZE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ARDEN
Other - Middle Name:P
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:90 E TASMAN DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-1617
Mailing Address - Country:US
Mailing Address - Phone:408-944-6000
Mailing Address - Fax:
Practice Address - Street 1:90 E TASMAN DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-1617
Practice Address - Country:US
Practice Address - Phone:408-944-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18853111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor