Provider Demographics
NPI:1407834419
Name:LANPHER CHIROPRACTIC
Entity Type:Organization
Organization Name:LANPHER CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:LANPHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-334-8073
Mailing Address - Street 1:506 N SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57110
Mailing Address - Country:US
Mailing Address - Phone:605-334-8073
Mailing Address - Fax:605-334-3752
Practice Address - Street 1:506 N SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57110
Practice Address - Country:US
Practice Address - Phone:605-334-8073
Practice Address - Fax:605-334-3752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD557111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
21248OtherSIOUX VALLEY HEALTH
SD7600350Medicaid
SD7600350Medicaid