Provider Demographics
NPI:1861493298
Name:MAJERLE, LUCY IRENE (DC)
Entity Type:Individual
Prefix:DR
First Name:LUCY
Middle Name:IRENE
Last Name:MAJERLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LUCY
Other - Middle Name:MAJERLE
Other - Last Name:OSGOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1411 W EL CAMINO REAL
Mailing Address - Street 2:SUITE B
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2405
Mailing Address - Country:US
Mailing Address - Phone:650-227-0440
Mailing Address - Fax:650-625-0450
Practice Address - Street 1:1411 W EL CAMINO REAL
Practice Address - Street 2:SUITE B
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2405
Practice Address - Country:US
Practice Address - Phone:650-227-0440
Practice Address - Fax:650-625-0450
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19206111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC19026OtherHCFA BOX 31
CADC0192060Medicare ID - Type Unspecified