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LANA SURGENOR CHIROPRACTIC INC. NPI 1417169533


NPI Information

NPI: 1417169533
Provider Name: LANA SURGENOR CHIROPRACTIC, INC.

Doing Business As: SOUL SHINE FAMILY CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
858 SECOND STREET
SANTA ROSA, CA
ZIP 95404
Phone: (707) 525-9950
Get Directions

LANA SURGENOR CHIROPRACTIC, INC. is a chiropractor in Santa Rosa, CA. 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. LANA SURGENOR CHIROPRACTIC, INC. NPI is 1417169533. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Soul Shine Family Chiropractic.

The provider's business location address is:

858 SECOND STREET
SANTA ROSA, CA
ZIP 95404-610
Phone: (707) 525-9950
Fax: (707) 525-9230

The provider's authorized official is Lana Marie Surgenor .
The authorized official title is Chiropractor and has the following contact phone number (707) 525-9950.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.


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
1111N00000XChiropractor29395CALIFORNIAYes

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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