Provider Demographics
NPI:1487839650
Name:LANSE FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:LANSE FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:JOI
Authorized Official - Last Name:KLEPPER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:906-524-6060
Mailing Address - Street 1:830 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LANSE
Mailing Address - State:MI
Mailing Address - Zip Code:49946-1225
Mailing Address - Country:US
Mailing Address - Phone:906-524-6060
Mailing Address - Fax:906-524-6060
Practice Address - Street 1:830 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LANSE
Practice Address - State:MI
Practice Address - Zip Code:49946-1225
Practice Address - Country:US
Practice Address - Phone:906-524-6060
Practice Address - Fax:906-524-6060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty