Provider Demographics
NPI:1982146502
Name:LAMBOURNE, NEVILLE (DC)
Entity Type:Individual
Prefix:
First Name:NEVILLE
Middle Name:
Last Name:LAMBOURNE
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 1:9380 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-3749
Mailing Address - Country:US
Mailing Address - Phone:951-373-5620
Mailing Address - Fax:951-373-5600
Practice Address - Street 1:9380 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3749
Practice Address - Country:US
Practice Address - Phone:951-373-5620
Practice Address - Fax:951-373-5600
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-14
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6261111N00000X
CADC36022111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor