Provider Demographics
NPI:1730133778
Name:GEIGER, LISA JAYNE (DC)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:JAYNE
Last Name:GEIGER
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 1:43 BRINGTON RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-6012
Mailing Address - Country:US
Mailing Address - Phone:617-738-1189
Mailing Address - Fax:617-566-2007
Practice Address - Street 1:126 HARVARD ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-6468
Practice Address - Country:US
Practice Address - Phone:617-566-2001
Practice Address - Fax:617-566-2007
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3034111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor