Most Relevant Information
Provider Data
| NPI Number: | 1003416264 |
| Provider Name: | LANCE USHERENKO |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 34853 |
Most Important Dates
| Enumeration Date: | 10/27/2020 |
| Last Updated: | 11/09/2020 |
Provider Practice Location
14557 FRIAR ST
VAN NUYS
CA
914112312
Practice Location Phone/Fax
| Phone: | 8185084210 |
| Fax: |
Provider Mailing Location
325 N MAPLE DR UNIT 5032
BEVERLY HILLS
CA
902095274
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |