Provider Demographics
NPI:1518744127
Name:LAHMAN CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:LAHMAN CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:COLBY
Authorized Official - Last Name:LAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-325-2626
Mailing Address - Street 1:1419 9TH ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WI
Mailing Address - Zip Code:53566-1423
Mailing Address - Country:US
Mailing Address - Phone:608-325-2626
Mailing Address - Fax:608-325-2504
Practice Address - Street 1:2808 PRAIRIE LAKES DR STE 105
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-8509
Practice Address - Country:US
Practice Address - Phone:608-825-7071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAHMAN CHIROPRACTIC LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty