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LAKESIDE SPINE AND WELLNESS LLC NPI 1154593937


NPI Information

NPI: 1154593937
Provider Name: LAKESIDE SPINE AND WELLNESS LLC

Doing Business As: LAKESIDE SPINE AND WELLNESS

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1800 NE 44TH ST STE 223
RENTON, WA
ZIP 98056
Phone: (206) 852-7960
Get Directions

LAKESIDE SPINE AND WELLNESS LLC is a chiropractor in Renton, WA. 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. LAKESIDE SPINE AND WELLNESS LLC NPI is 1154593937. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lakeside Spine And Wellness.

The provider's business location address is:

1800 NE 44TH ST STE 223
RENTON, WA
ZIP 98056-035
Phone: (206) 852-7960

The provider's authorized official is Andrew Winger .
The authorized official title is Owner and has the following contact phone number (206) 852-7960.

The enumeration date for this NPI number is 4/1/2008 and was last updated on 9/11/2023.


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
1174400000XSpecialistNo
2111N00000XChiropractorYes

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
11629035571OTHERNPI
21972566529OTHERNPI
31386812469OTHERNPI

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: 4/28/2024

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