LACKMAN CHIROPRACTIC LLC (NPI# 1427361120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427361120 |
| Entity Type | Organization |
| Organization Name | LACKMAN CHIROPRACTIC LLC |
| Practice Address |
4001 Rib Mountain Dr Wausau WI 54401-7445 |
| Practice Telephone | 7155712702 |
| Mailing Telephone | 7155712702 |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |
| Authorized Official Name | ZARA LACKMAN (CHIROPRACTOR, OWNER) |
| Authorized Official Telephone | 7155712702 |
| Authorized Official Credential | D.C., D.I.C.C.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 3393-012 | WI | Chiropractic Providers |
| Y | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
3393-012 | WI | Chiropractic Providers |
| Street Address |
4001 RIB MOUNTAIN DR |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-7445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 111NP0017X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Pediatric Chiropractor |
| 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. |
| Notes: Source: Council on Chiropractic Pediatrics, American Chiropractic Association, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629391 | Jennifer Forstner | Chiropractor | W190n12705 Deerwood Cir, Richfield, WI 53076-9758 | 2018-12-04 |
| 1912330903 | Adam J Bubnich | Chiropractor | 601 N Superior Ave, Ste 6, Tomah, WI 54660-1589 | 2013-08-14 |
| 1255673562 | Dr. Victoria Zueger, S.c. | Chiropractor | 710 E Grand Ave, Wisconsin Rapids, WI 54494-4647 | 2013-03-25 |
| 1831363431 | Howard Chiropractic Clinic, S.c. | Chiropractor | 721 Cardinal Ln, Ste 100, Green Bay, WI 54313-3216 | 2008-04-15 |
| 1609054030 | Laura Lee Jonker | Chiropractor | 2121 E 5th St, Superior, WI 54880-3610 | 2008-02-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.