Provider Demographics
NPI:1750492179
Name:FLEMMING, LOIS ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:LOIS
Middle Name:ANN
Last Name:FLEMMING
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 1:3601 TRENT RD
Mailing Address - Street 2:STE. 3
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2219
Mailing Address - Country:US
Mailing Address - Phone:252-638-6062
Mailing Address - Fax:252-638-3180
Practice Address - Street 1:3601 TRENT RD
Practice Address - Street 2:STE. 3
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2219
Practice Address - Country:US
Practice Address - Phone:252-638-6062
Practice Address - Fax:252-638-3180
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC1858111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0851COtherBCBS
NC890851CMedicaid
NC0851COtherBCBS
NCU02128Medicare UPIN