Lagrange Chiropractic Psc in Lagrange - Chiropractor
Lagrange Chiropractic Psc - NPI 1477679587
Lagrange Chiropractic Psc is a Chiropractor in Lagrange, Kentucky. Lagrange Chiropractic Psc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Lagrange Chiropractic Psc is 1477679587. The last update date is 2008-08-06.
Lagrange Chiropractic Psc's current location address is 301 S 1st St, Lagrange, Kentucky. You can contact this provider via phone number 5022220000 and fax number 5022223488. The mailing address for Lagrange Chiropractic Psc is 301 S 1st St, Lagrange, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lagrange Chiropractic Psc |
|---|---|
| Address | 301 S 1st St, Lagrange, Kentucky |
| Phone Number | 5022220000 |
| Fax Number | 5022223488 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Petrucci Lee Lido |
| Credentials | DC |
| Telephone Number | 5022220000 |
NPI Number Detail
| NPI Number | 1477679587 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2008-08-06 |
Provider Mailing Address Detail
| Address | 301 S 1st St |
|---|---|
| City | Lagrange |
| State | Kentucky (KY) |
| Post Code | 40031 |
| Phone Number | 5022220000 |
| Fax Number | 5022223488 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4315 |
|
Definition: 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 inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2438073000 | KY | PASSPORT ADVANTAGE | |
| 350048657 | KY | RAILROAD MEDICARE | |
| 974279 | KY | AETNA | |
| 1140369 | KY | PASSPORT | |
| 9943660003 | KY | CIGNA | |
| 85036697 | KY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lagrange Chiropractic Psc by the Centers for Medicare & Medicaid Services (CMS)?
The Lagrange Chiropractic Psc has been assigned the NPI (National Provider Identifier) 1477679587. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Lagrange Chiropractic Psc is located?
The Lagrange Chiropractic Psc is situated at the following address: 301 S 1St St, Lagrange, KY, 40031.
What is Lagrange Chiropractic Psc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lagrange Chiropractic Psc is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477679587 to Lagrange Chiropractic Psc?
The Centers for Medicare & Medicaid Services originally issued the 1477679587 to Lagrange Chiropractic Psc on 2007-03-21.
As of what date were the Lagrange Chiropractic Psc's details last updated?
The information pertaining to the Lagrange Chiropractic Psc, including its address, specialty, and other details, was most recently updated on 2008-08-06.
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