Provider Demographics
NPI:1942462833
Name:LACEFIELD, LINDA DENISE (DC)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:DENISE
Last Name:LACEFIELD
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 1:11161 CRENSHAW BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90303-2354
Mailing Address - Country:US
Mailing Address - Phone:310-677-7997
Mailing Address - Fax:310-677-7490
Practice Address - Street 1:11161 CRENSHAW BLVD STE 150
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90303-2354
Practice Address - Country:US
Practice Address - Phone:310-677-7997
Practice Address - Fax:310-677-7490
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24461111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor