Provider Demographics
NPI:1720128317
Name:LEMIEUX, RICHARD (CH)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:LEMIEUX
Suffix:
Gender:M
Credentials:CH
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 779
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944-0779
Mailing Address - Country:US
Mailing Address - Phone:509-837-5022
Mailing Address - Fax:509-837-4501
Practice Address - Street 1:1301 E EDISON AVE
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-1620
Practice Address - Country:US
Practice Address - Phone:509-837-5022
Practice Address - Fax:509-837-4501
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001360111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WADA5461OtherREGENCE