Provider Demographics
NPI:1164439782
Name:LAMB CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:LAMB CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CHIRPORACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-478-6224
Mailing Address - Street 1:14401 E 42ND ST S
Mailing Address - Street 2:#310
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-4753
Mailing Address - Country:US
Mailing Address - Phone:816-478-6224
Mailing Address - Fax:816-478-3890
Practice Address - Street 1:14401 E 42ND ST S
Practice Address - Street 2:#310
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-4753
Practice Address - Country:US
Practice Address - Phone:816-478-6224
Practice Address - Fax:816-478-3890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001023318111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO32537026OtherBLUE CROSS BLUE SHIELD
MO000C287Medicare ID - Type Unspecified
MOU94384Medicare UPIN