Provider Demographics
NPI:1316239577
Name:LEMBURG, JOSHUA JON (DC)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:JON
Last Name:LEMBURG
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 1:4465 NORTHPARK DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-4225
Mailing Address - Country:US
Mailing Address - Phone:719-247-8256
Mailing Address - Fax:
Practice Address - Street 1:4465 NORTHPARK DR
Practice Address - Street 2:SUITE 203
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-4225
Practice Address - Country:US
Practice Address - Phone:719-247-8256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR-6602111N00000X
IA007275111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor