Provider Demographics
NPI:1174879274
Name:LIONBERGER, WILLIAM (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:LIONBERGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 S EL CAMINO REAL
Mailing Address - Street 2:SUITE 208
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6369
Mailing Address - Country:US
Mailing Address - Phone:760-722-9393
Mailing Address - Fax:888-600-4364
Practice Address - Street 1:2216 S EL CAMINO REAL
Practice Address - Street 2:SUITE 208
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6369
Practice Address - Country:US
Practice Address - Phone:760-722-9393
Practice Address - Fax:888-600-4364
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14129111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor