LAKE CHIROPRACTIC, PC (NPI# 1972659464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972659464 |
| Entity Type | Organization |
| Organization Name | LAKE CHIROPRACTIC, PC |
| Practice Address |
9 Centre Court Palmyra VA 22963-2329 |
| Mailing Address |
9 Centre Ct Palmyra VA 22963-2329 |
| Practice Telephone | 4345898005 |
| Practice Fax Number | 4345891401 |
| Mailing Telephone | 4345898005 |
| Mailing Fax Number | 4345891401 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | DR. RICHARD EDWARD WELLS JR. (PRESIDENT) |
| Authorized Official Telephone | 4345898005 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104556095 | VA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346385143 | Lake Chiropractic, PC | Chiropractor | 40031 Us Highway 160, Suite C, Bayfield, CO 81122-8746 | 2007-02-20 |
| Street Address |
9 CENTRE COURT |
| City | PALMYRA |
| State | VA |
| Zip Code | 22963-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851809941 | Alexa Cservek | Psychologist | 9172 James Madison Hwy, Palmyra, VA 22963 | 2018-01-11 |
| 1457716672 | Caroline Bach | Physical Therapist | 109 Crofton Pl, Palmyra, VA 22963 | 2015-12-15 |
| 1699159251 | Lucy Little Hill | Community Health Worker | 3 Dew Court, Palmyra, VA 22963 | 2015-07-14 |
| 1720380306 | Sandra Mae Chirico | Occupational Therapist | 473 Jefferson Drive West, Palmyra, VA 22963 | 2010-12-02 |
| 1225263486 | Lucy Ricardo Larsen | Acupuncturist | 202 Turkeysag Trail, Palmyra, VA 22963 | 2009-05-18 |
| 1720132293 | James Colburn Steere | Dentist | 13653 James Madison Hwy, Palmyra, VA 22963 | 2007-01-22 |
| 1831106327 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 132 Main Street, County Office Building, Palmyra, VA 22963 | 2006-08-01 |
| 1356361430 | Susan J. Moore | Internal Medicine | 112 Crofton Place, Uva Lake Monticello Internal Medicine, Palmyra, VA 22963 | 2006-07-20 |
| 1366414385 | Phyllis Blattstain Montellese | Family Medicine | 2599 Central Plains Rd, Palmyra, VA 22963 | 2006-02-03 |
| 1538521646 | Ryan Mckinney | Physical Therapist | 77 Market St Ste B, Palmyra, VA 22963 | 2016-03-28 |
| Find all providers in zip 22963 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548703820 | Michael Barker | Chiropractor | 126 S Grant St, Palmyra, PA 17078-2505 | 2016-11-18 |
| 1205268299 | Miranda J Doherty | Chiropractor | 43a Oxbow Rd, Palmyra, ME 04965 | 2013-08-01 |
| 1225322332 | Sarah A Moore | Chiropractor | 1200 W Royal Lee Dr, Palmyra, WI 53156 | 2011-06-06 |
| 1205023082 | Cathy A Crane | Chiropractor | 1211 Alderman Rd, Palmyra, NY 14522-9555 | 2007-09-26 |
| 1558407718 | Stephen Edward Lyons | Chiropractor | 1361 Mill Pond Way, Palmyra, PA 17078-3701 | 2007-01-29 |
| 1881759926 | Kenneth W Leinweber | Chiropractor | 115 West Lafayette, Palmyra, MO 63461 | 2006-12-27 |
| 1073680385 | Mark Stephen Napoliello | Chiropractor | 829 Cinnaminson Ave, Palmyra, NJ 08065-2552 | 2006-11-29 |
| 1033282587 | Randy E Steinbrueck | Chiropractor | 322 W Ross St, Palmyra, MO 63461-1420 | 2006-11-15 |
| 1831260876 | Randall R Leanna | Chiropractor | 212 W. Main St, Palmyra, WI 53156-0250 | 2006-11-13 |
| 1538267554 | Laura Joanne Akerson | Chiropractor | 224 W Church St, Palmyra, MO 63461-1504 | 2006-09-21 |
| Find all providers in PALMYRA | ||||
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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.