Provider Demographics
NPI:1629306170
Name:LORIE A PLAISANCE DC PS
Entity Type:Organization
Organization Name:LORIE A PLAISANCE DC PS
Other - Org Name:SUMMIT CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PLAISANCE
Authorized Official - Suffix:
Authorized Official - Credentials:DC PS
Authorized Official - Phone:360-692-2333
Mailing Address - Street 1:3212 NW BYRON ST
Mailing Address - Street 2:STE 103
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-9154
Mailing Address - Country:US
Mailing Address - Phone:360-692-2333
Mailing Address - Fax:360-692-2334
Practice Address - Street 1:3212 NW BYRON ST STE 103
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-9154
Practice Address - Country:US
Practice Address - Phone:360-692-2333
Practice Address - Fax:360-692-2334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-20
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty