Provider Demographics
NPI:1730466525
Name:STEINDORF, DANA LEIGH (LAC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:LEIGH
Last Name:STEINDORF
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-2913
Mailing Address - Country:US
Mailing Address - Phone:760-845-2465
Mailing Address - Fax:
Practice Address - Street 1:1892 W EL NORTE PKWY
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-3343
Practice Address - Country:US
Practice Address - Phone:760-480-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13834171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist