Provider Demographics
NPI:1669635488
Name:LEMNOUNI, ADAM SIDI (DC)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:SIDI
Last Name:LEMNOUNI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 S OCEANSHORE BLVD
Mailing Address - Street 2:
Mailing Address - City:FLAGLER BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32136-3703
Mailing Address - Country:US
Mailing Address - Phone:386-439-9001
Mailing Address - Fax:386-439-9002
Practice Address - Street 1:1240 S OCEANSHORE BLVD
Practice Address - Street 2:
Practice Address - City:FLAGLER BEACH
Practice Address - State:FL
Practice Address - Zip Code:32136-3703
Practice Address - Country:US
Practice Address - Phone:386-439-9001
Practice Address - Fax:386-439-9002
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9565111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor