Provider Demographics
NPI:1801824057
Name:JANUARY, LYNNEE T (DC)
Entity Type:Individual
Prefix:MS
First Name:LYNNEE
Middle Name:T
Last Name:JANUARY
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:PO BOX 221772
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822
Mailing Address - Country:US
Mailing Address - Phone:916-949-8423
Mailing Address - Fax:
Practice Address - Street 1:155 15TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-3737
Practice Address - Country:US
Practice Address - Phone:916-373-9256
Practice Address - Fax:916-373-9298
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29970111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor