Provider Demographics
NPI:1629775242
Name:LISA A. GARFINKEL DC, INC.
Entity Type:Organization
Organization Name:LISA A. GARFINKEL DC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:GARFINKEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-300-3833
Mailing Address - Street 1:5965 S KENTON ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5721
Mailing Address - Country:US
Mailing Address - Phone:303-300-3833
Mailing Address - Fax:
Practice Address - Street 1:6881 S HOLLY CIR STE 204
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1145
Practice Address - Country:US
Practice Address - Phone:303-300-3833
Practice Address - Fax:949-404-6788
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LISA A. GARFINKEL DC, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1356489744OtherNPI