Provider Demographics
NPI:1043558141
Name:LAMB CHIROPRACTIC CLINIC, PC
Entity Type:Organization
Organization Name:LAMB CHIROPRACTIC CLINIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-426-1657
Mailing Address - Street 1:401 N WEINBACH AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-6011
Mailing Address - Country:US
Mailing Address - Phone:812-426-1657
Mailing Address - Fax:812-962-0167
Practice Address - Street 1:401 N WEINBACH AVE
Practice Address - Street 2:SUITE D
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-6011
Practice Address - Country:US
Practice Address - Phone:812-426-1657
Practice Address - Fax:812-962-0167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08000686A111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty