Provider Demographics
NPI:1417020371
Name:CHAU, LANNA A (DC)
Entity type:Individual
Prefix:
First Name:LANNA
Middle Name:A
Last Name:CHAU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3848 N MCKINLEY ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-6569
Mailing Address - Country:US
Mailing Address - Phone:951-371-5050
Mailing Address - Fax:951-371-5583
Practice Address - Street 1:3848 N MCKINLEY ST
Practice Address - Street 2:SUITE C
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-6569
Practice Address - Country:US
Practice Address - Phone:951-371-5050
Practice Address - Fax:951-371-5583
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CADC29541111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor