Provider Demographics
NPI:1326084781
Name:LAMEY CHIROPRACTIC, PA
Entity Type:Organization
Organization Name:LAMEY CHIROPRACTIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:LAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-327-4484
Mailing Address - Street 1:PO BOX 506
Mailing Address - Street 2:523 HARKRIDER
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72033-0506
Mailing Address - Country:US
Mailing Address - Phone:501-327-4484
Mailing Address - Fax:501-327-5963
Practice Address - Street 1:523 HARKRIDER ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-5631
Practice Address - Country:US
Practice Address - Phone:501-327-4484
Practice Address - Fax:501-327-5963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR902111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR102212718Medicaid
ART20663Medicare UPIN
AR102212718Medicaid