Provider Demographics
NPI:1588797062
Name:MARLOW-LEHRMAN, DENISE CHRISTINA (DC)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:CHRISTINA
Last Name:MARLOW-LEHRMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:CHRISTINA
Other - Last Name:MARLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:320 13TH ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3910
Mailing Address - Country:US
Mailing Address - Phone:510-444-4032
Mailing Address - Fax:510-444-5681
Practice Address - Street 1:320 13TH ST
Practice Address - Street 2:SUITE 108
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3910
Practice Address - Country:US
Practice Address - Phone:510-444-4032
Practice Address - Fax:510-444-5681
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22070111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0220700Medicare ID - Type UnspecifiedMEDICARE PROVIDER