Provider Demographics
NPI:1093836660
Name:LICHFIELD, CAMERON S (DC)
Entity type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:S
Last Name:LICHFIELD
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 1:9633 S DUDLEY WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-8522
Mailing Address - Country:US
Mailing Address - Phone:720-981-1275
Mailing Address - Fax:
Practice Address - Street 1:10789 BRADFORD RD STE 110
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6404
Practice Address - Country:US
Practice Address - Phone:303-904-8641
Practice Address - Fax:303-904-8793
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4662111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor