Provider Demographics
NPI:1528191145
Name:LOCKWOOD CHIROPRACTIC OFFICES, P.C.
Entity Type:Organization
Organization Name:LOCKWOOD CHIROPRACTIC OFFICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNELLE
Authorized Official - Middle Name:LOIS
Authorized Official - Last Name:HINDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-962-6015
Mailing Address - Street 1:113 W LOCKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WEBSTER GROVES
Mailing Address - State:MO
Mailing Address - Zip Code:63119-2915
Mailing Address - Country:US
Mailing Address - Phone:314-962-6015
Mailing Address - Fax:314-962-7874
Practice Address - Street 1:113 W LOCKWOOD AVE
Practice Address - Street 2:
Practice Address - City:WEBSTER GROVES
Practice Address - State:MO
Practice Address - Zip Code:63119-2915
Practice Address - Country:US
Practice Address - Phone:314-962-6015
Practice Address - Fax:314-962-7874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty