Provider Demographics
NPI:1932278124
Name:LESMAN, ERWIN ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:ERWIN
Middle Name:ALLEN
Last Name:LESMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10230 ARTESIA BLVD
Mailing Address - Street 2:STE 206
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-6769
Mailing Address - Country:US
Mailing Address - Phone:562-506-5258
Mailing Address - Fax:
Practice Address - Street 1:10230 ARTESIA BLVD
Practice Address - Street 2:STE 206
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-6769
Practice Address - Country:US
Practice Address - Phone:562-506-5258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22392111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA721573676OtherTAX I.D.
CADC22393Medicare ID - Type Unspecified