Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH5433 | FL |
NPI | 1003993056 |
---|---|
Provider Name | Dr. Lenis E Whalen |
First Address | Zephyrhills, FL 33542-3509 |
Second Address | Zephyrhills, FL 33542-3509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 02/11/2007 |