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LAKE CITY CHIROPRACTIC AND MASSAGE NPI 1811179781


NPI Information

NPI: 1811179781
Provider Name: LAKE CITY CHIROPRACTIC AND MASSAGE
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 10D2056532

Address:
512 W DUVAL ST
LAKE CITY, FL
ZIP 32055
Phone: (386) 752-3877
Get Directions

LAKE CITY CHIROPRACTIC AND MASSAGE is a chiropractor in Lake City, FL. 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 CITY CHIROPRACTIC AND MASSAGE NPI is 1811179781. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

512 W DUVAL ST
LAKE CITY, FL
ZIP 32055-899
Phone: (386) 752-3877
Fax: (386) 752-3544

The provider's authorized official is Stephen J Lemley .
The authorized official title is Owener and has the following contact phone number (386) 752-3877.

The CLIA number assigned to this NPI record is 10D2056532 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 12/3/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH0006335FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K4804MEDICARE PINFLORIDA

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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