Provider Demographics
NPI:1528268596
Name:LAUZON, ANN MARGARET (DC)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:MARGARET
Last Name:LAUZON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8585 SW CANYON LN
Mailing Address - Street 2:#82
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-3964
Mailing Address - Country:US
Mailing Address - Phone:503-312-5232
Mailing Address - Fax:
Practice Address - Street 1:10395 NW GLENCOE RD
Practice Address - Street 2:SUITE 500
Practice Address - City:NORTH PLAINS
Practice Address - State:OR
Practice Address - Zip Code:97133-8208
Practice Address - Country:US
Practice Address - Phone:503-647-9944
Practice Address - Fax:503-647-0511
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR71-3711111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor