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WELLNESS MANAGEMENT CHIROPRACTIC AND MEDICAL CLINIC INC. NPI 1578731436


NPI Information

NPI: 1578731436
Provider Name: WELLNESS MANAGEMENT CHIROPRACTIC AND MEDICAL CLINIC INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2121 LAKE ST
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 433-1919
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WELLNESS MANAGEMENT CHIROPRACTIC AND MEDICAL CLINIC INC. is a chiropractor in Lake Charles, LA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WELLNESS MANAGEMENT CHIROPRACTIC AND MEDICAL CLINIC INC. NPI is 1578731436. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2121 LAKE ST
LAKE CHARLES, LA
ZIP 70601-103
Phone: (337) 433-1919

The provider's authorized official is Larry Lavigne .
The authorized official title is President and has the following contact phone number (337) 433-1919.

The enumeration date for this NPI number is 2/13/2008 and was last updated on 2/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor1137LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15CD26MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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