Provider Demographics
NPI:1245330901
Name:CASTLE, ELIZABETH LAUREN (DC)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LAUREN
Last Name:CASTLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1361 FRANCIS ST
Mailing Address - Street 2:SUITE103
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-2576
Mailing Address - Country:US
Mailing Address - Phone:303-772-1211
Mailing Address - Fax:303-772-3937
Practice Address - Street 1:1361 FRANCIS ST
Practice Address - Street 2:SUITE103
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-2576
Practice Address - Country:US
Practice Address - Phone:303-772-1211
Practice Address - Fax:303-772-3937
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO5841111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor