Provider Demographics
NPI:1538332606
Name:LIRINGIS CHIROPRACTIC CLINIC, PA
Entity Type:Organization
Organization Name:LIRINGIS CHIROPRACTIC CLINIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:LIRINGIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-299-3230
Mailing Address - Street 1:3570 VEST MILL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-2963
Mailing Address - Country:US
Mailing Address - Phone:336-768-1004
Mailing Address - Fax:336-659-1373
Practice Address - Street 1:3570 VEST MILL RD
Practice Address - Street 2:SUITE B
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-2963
Practice Address - Country:US
Practice Address - Phone:336-768-1004
Practice Address - Fax:336-659-1373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08591OtherBLUE CROSS BLUE SHIELD
NC244297Medicare PIN