Provider Demographics
NPI:1356177505
Name:LACHAUX, JANINE
Entity type:Individual
Prefix:
First Name:JANINE
Middle Name:
Last Name:LACHAUX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 BLUME DR STE 116
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94806-1903
Mailing Address - Country:US
Mailing Address - Phone:510-609-6875
Mailing Address - Fax:510-255-5196
Practice Address - Street 1:3220 BLUME DR STE 116
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94806-1903
Practice Address - Country:US
Practice Address - Phone:510-609-6875
Practice Address - Fax:510-255-5196
Is Sole Proprietor?:No
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator