Provider Demographics
NPI:1285975904
Name:THE LIONS PAW, LLC
Entity type:Organization
Organization Name:THE LIONS PAW, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CADLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:503-756-7850
Mailing Address - Street 1:3775 MARTIN WAY E STE B2
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-5007
Mailing Address - Country:US
Mailing Address - Phone:360-292-6003
Mailing Address - Fax:
Practice Address - Street 1:3775 MARTIN WAY E STE B2
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5007
Practice Address - Country:US
Practice Address - Phone:360-292-6003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60326939111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty