Provider Demographics
NPI:1255510384
Name:ADELIZI, LAUREN JOY (DC)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:JOY
Last Name:ADELIZI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:JOY
Other - Last Name:DEMBKOSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:148 LINDEN ST
Mailing Address - Street 2:SUITE B-5
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482
Mailing Address - Country:US
Mailing Address - Phone:781-235-5962
Mailing Address - Fax:
Practice Address - Street 1:148 LINDEN ST
Practice Address - Street 2:SUITE B-5
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482
Practice Address - Country:US
Practice Address - Phone:781-235-5962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3046111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor