Provider Demographics
NPI:1669510863
Name:MCNAUGHTON, LEE DOUGLAS (DC)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:DOUGLAS
Last Name:MCNAUGHTON
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 1:1820 GRANT ST
Mailing Address - Street 2:PMB 5115
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722
Mailing Address - Country:US
Mailing Address - Phone:563-823-0386
Mailing Address - Fax:563-823-0651
Practice Address - Street 1:325 16TH ST
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722
Practice Address - Country:US
Practice Address - Phone:563-823-0386
Practice Address - Fax:563-823-0651
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06804111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor