LAKESHORE CHIROPRACTIC WELLNESS PLLC NPI 1396525002

NPI Information

  • NPI: 1396525002
  • Provider Name: LAKESHORE CHIROPRACTIC WELLNESS PLLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 6778 ERIE RD
    DERBY, NY
    ZIP 14047
  • Phone: (716) 947-5106

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NPI Details

LAKESHORE CHIROPRACTIC WELLNESS PLLC is a chiropractor in Derby, NY. 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. LAKESHORE CHIROPRACTIC WELLNESS PLLC NPI is 1396525002. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6778 ERIE RD
DERBY, NY
ZIP 14047-672
Phone: (716) 947-5106
Fax: (716) 947-9329

The provider's authorized official is Timothy Alan Smith .
The authorized official title is Owner - Chiropractor and has the following contact phone number (716) 208-6039.

The enumeration date for this NPI number is 10/2/2023 and was last updated on 2/23/2024.

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
1111N00000XChiropractorYes

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: 11/21/2025

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