Provider Demographics
NPI:1639300957
Name:WESTIE, ELIZABETH MARTHA LAVEEN (DC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MARTHA LAVEEN
Last Name:WESTIE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14033 COMMERCE AVE NE
Mailing Address - Street 2:
Mailing Address - City:PRIOR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55372-1438
Mailing Address - Country:US
Mailing Address - Phone:952-447-0985
Mailing Address - Fax:952-447-0986
Practice Address - Street 1:14033 COMMERCE AVE NE
Practice Address - Street 2:
Practice Address - City:PRIOR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55372-1438
Practice Address - Country:US
Practice Address - Phone:952-447-0985
Practice Address - Fax:952-447-0986
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5269111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor