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LACKMAN CHIROPRACTIC LLC NPI 1427361120


NPI Information

NPI: 1427361120
Provider Name: LACKMAN CHIROPRACTIC LLC
Classification: Chiropractor - 111NP0017X
Entity Type: Organization

Specialization: Pediatric Chiropractor

Address:
4001 RIB MOUNTAIN DR
WAUSAU, WI
ZIP 54401
Phone: (715) 571-2702
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LACKMAN CHIROPRACTIC LLC is a pediatric chiropractor chiropractor in Wausau, WI. The provider is the Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents. LACKMAN CHIROPRACTIC LLC NPI is 1427361120. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4001 RIB MOUNTAIN DR
WAUSAU, WI
ZIP 54401-445
Phone: (715) 571-2702

The provider's authorized official is Zara Lackman .
The authorized official title is Chiropractor, Owner and has the following contact phone number (715) 571-2702.

The enumeration date for this NPI number is 7/22/2010 and was last updated on 7/22/2010.


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
1111N00000XChiropractor3393-012WISCONSINNo
2111NP0017XChiropractorPediatric Chiropractor3393-012WISCONSINYes

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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