Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 15402 | CA |
N | 111NX0100X | Occupational Health | CHIR004856 | GA |
NPI | 1578824942 |
---|---|
Provider Name | Donald Lee Stokes |
First Address | Los Angeles, CA 90045-1140 |
Second Address | Westchester, CA 90045-4015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2012 |
Last Update Date | 01/06/2012 |