Provider Demographics
NPI:1053559989
Name:MAURER, CRAIG LLOYD (DC)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:LLOYD
Last Name:MAURER
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 1:2441 IMOLA AVE W
Mailing Address - Street 2:ROOM #1
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-9603
Mailing Address - Country:US
Mailing Address - Phone:707-227-4538
Mailing Address - Fax:
Practice Address - Street 1:2441 IMOLA AVE W
Practice Address - Street 2:ROOM #1
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-9603
Practice Address - Country:US
Practice Address - Phone:707-227-4538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20698111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor