Provider Demographics
NPI:1437177201
Name:LAKELAND CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:LAKELAND CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:W
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:810-231-2727
Mailing Address - Street 1:5280 EAST M36
Mailing Address - Street 2:PO BOX K
Mailing Address - City:LAKELAND
Mailing Address - State:MI
Mailing Address - Zip Code:48143
Mailing Address - Country:US
Mailing Address - Phone:810-231-2727
Mailing Address - Fax:810-231-2729
Practice Address - Street 1:5280 EAST M36
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:MI
Practice Address - Zip Code:48143
Practice Address - Country:US
Practice Address - Phone:810-231-2727
Practice Address - Fax:810-231-2729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty