Provider Demographics
NPI:1710108725
Name:LEJEUNE CHIROPRACTIC CLINIC INC
Entity Type:Organization
Organization Name:LEJEUNE CHIROPRACTIC CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:LEJEUNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:337-546-0143
Mailing Address - Street 1:104 N SECOND ST
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-3336
Mailing Address - Country:US
Mailing Address - Phone:337-546-0143
Mailing Address - Fax:337-457-5618
Practice Address - Street 1:104 N SECOND ST
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-3336
Practice Address - Country:US
Practice Address - Phone:337-546-0143
Practice Address - Fax:337-457-5618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1215087358OtherALTON RAY LEJEUNE NPI
LA1556971Medicaid
1669522793OtherJOSEPH KEVIN NPI
1669522793OtherJOSEPH KEVIN NPI
1215087358OtherALTON RAY LEJEUNE NPI