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LAKE CHIROPRACTIC CENTER PLLC NPI 1174722433


NPI Information

NPI: 1174722433
Provider Name: LAKE CHIROPRACTIC CENTER, PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
914 CHARLEVOIX DR
SUITE 120
GRAND LEDGE, MI
ZIP 48837
Phone: (517) 622-8552
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LAKE CHIROPRACTIC CENTER, PLLC is a chiropractor in Grand Ledge, MI. 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. LAKE CHIROPRACTIC CENTER, PLLC NPI is 1174722433. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

914 CHARLEVOIX DR
SUITE 120
GRAND LEDGE, MI
ZIP 48837-280
Phone: (517) 622-8552
Fax: (517) 622-8591

The provider's authorized official is Chad Michael Lake .
The authorized official title is Owner/president and has the following contact phone number (517) 622-8552.

The enumeration date for this NPI number is 7/16/2007 and was last updated on 7/16/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2301008249MICHIGANYes

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: 5/5/2024

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