Provider Demographics
NPI:1720400989
Name:AMERIS, LAUREN ALEXIS (DC)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ALEXIS
Last Name:AMERIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2827 LEECHBURG RD
Mailing Address - Street 2:
Mailing Address - City:LOWER BURRELL
Mailing Address - State:PA
Mailing Address - Zip Code:15068-2539
Mailing Address - Country:US
Mailing Address - Phone:724-994-8471
Mailing Address - Fax:
Practice Address - Street 1:3058 LEECHBURG RD
Practice Address - Street 2:SUITE 7
Practice Address - City:LOWER BURRELL
Practice Address - State:PA
Practice Address - Zip Code:15068-3460
Practice Address - Country:US
Practice Address - Phone:724-994-8471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010831111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor