Provider Demographics
NPI:1316297997
Name:LEMIRE, MARK L (DC)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:L
Last Name:LEMIRE
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 1:119 N EL CAMINO REAL
Mailing Address - Street 2:SUITE F
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5397
Mailing Address - Country:US
Mailing Address - Phone:760-484-0114
Mailing Address - Fax:
Practice Address - Street 1:119 N EL CAMINO REAL
Practice Address - Street 2:SUITE F
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5397
Practice Address - Country:US
Practice Address - Phone:760-484-0114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18244111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor