Provider Demographics
NPI:1346286341
Name:SPEARS, LOLITA GENEAN (DC)
Entity Type:Individual
Prefix:
First Name:LOLITA
Middle Name:GENEAN
Last Name:SPEARS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4760 DRAKES BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37218-1402
Mailing Address - Country:US
Mailing Address - Phone:615-876-1724
Mailing Address - Fax:
Practice Address - Street 1:4760 DRAKES BRANCH RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37218-1402
Practice Address - Country:US
Practice Address - Phone:615-876-1724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2099111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor