Provider Demographics
NPI:1346477213
Name:LKL ENTERPRISES, LLC
Entity Type:Organization
Organization Name:LKL ENTERPRISES, LLC
Other - Org Name:BEST LIFE CHIROPRACTIC AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUKUCSKA LE
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CACCP, CCSP
Authorized Official - Phone:972-539-7500
Mailing Address - Street 1:4401 LONG PRAIRIE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1794
Mailing Address - Country:US
Mailing Address - Phone:972-539-7500
Mailing Address - Fax:972-539-7550
Practice Address - Street 1:4401 LONG PRAIRIE RD
Practice Address - Street 2:STE. 200
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1794
Practice Address - Country:US
Practice Address - Phone:972-539-7500
Practice Address - Fax:972-539-7550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9520111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1346477213OtherNPI
TX1346477213OtherNPI