Provider Demographics
NPI:1740751023
Name:LOUDON CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:LOUDON CHIROPRACTIC PLLC
Other - Org Name:CHIROPRACTIC FOR LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUDON
Authorized Official - Suffix:VI
Authorized Official - Credentials:DC
Authorized Official - Phone:859-335-3171
Mailing Address - Street 1:216 FOUNTAIN CT STE 160
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2510
Mailing Address - Country:US
Mailing Address - Phone:859-335-3171
Mailing Address - Fax:
Practice Address - Street 1:216 FOUNTAIN CT STE 160
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2510
Practice Address - Country:US
Practice Address - Phone:859-335-3171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-11
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty