Provider Demographics
NPI:1730215427
Name:OWENS, LUCIA MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:LUCIA
Middle Name:MARIE
Last Name:OWENS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3441 GOLDEN GATE WAY STE H
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4539
Mailing Address - Country:US
Mailing Address - Phone:510-677-7981
Mailing Address - Fax:
Practice Address - Street 1:3441 GOLDEN GATE WAY STE H
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4539
Practice Address - Country:US
Practice Address - Phone:510-677-7981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 24547111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC 0245470Medicare ID - Type UnspecifiedMEDICARE NUMBER