Provider Demographics
NPI:1619342532
Name:LAHMAN CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:LAHMAN CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-508-2899
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 1:1419 9TH ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WI
Practice Address - Zip Code:53566-1423
Practice Address - Country:US
Practice Address - Phone:608-325-2626
Practice Address - Fax:608-325-2504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-03
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5169111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty