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LAGRANGE CHIROPRACTIC PSC NPI 1477679587


NPI Information

NPI: 1477679587
Provider Name: LAGRANGE CHIROPRACTIC PSC

Doing Business As: LAGRANGE CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
301 S 1ST ST
LAGRANGE, KY
ZIP 40031
Phone: (502) 222-0000
Get Directions

LAGRANGE CHIROPRACTIC PSC is a chiropractor in Lagrange, KY. 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. LAGRANGE CHIROPRACTIC PSC NPI is 1477679587. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lagrange Chiropractic.

The provider's business location address is:

301 S 1ST ST
LAGRANGE, KY
ZIP 40031
Phone: (502) 222-0000
Fax: (502) 222-3488

The provider's authorized official is Lido Lee Petrucci .
The authorized official title is Doctor and has the following contact phone number (502) 222-0000.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 8/6/2008.


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
1111N00000XChiropractor4315KENTUCKYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10974279OTHERKENTUCKYAETNA
21140369OTHERKENTUCKYPASSPORT
385036697MEDICAIDKENTUCKY
46075001MEDICARE PINKENTUCKY
52438073000OTHERKENTUCKYPASSPORT ADVANTAGE
6350048657OTHERKENTUCKYRAILROAD MEDICARE
79943660003OTHERKENTUCKYCIGNA
8U63869MEDICARE UPINKENTUCKY

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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