Provider Demographics
NPI:1710675723
Name:ALIGNED LIFE CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:ALIGNED LIFE CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:LAZARO
Authorized Official - Last Name:CORTES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:347-256-2065
Mailing Address - Street 1:5070 MENLO PARKE WAY APT 201
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-1962
Mailing Address - Country:US
Mailing Address - Phone:347-256-2065
Mailing Address - Fax:
Practice Address - Street 1:5070 MENLO PARKE WAY APT 201
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-1962
Practice Address - Country:US
Practice Address - Phone:347-256-2065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-27
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty