Provider Demographics
NPI:1760700413
Name:LEHIGH FAMILY CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:LEHIGH FAMILY CHIROPRACTIC PLLC
Other - Org Name:GULF COAST CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHIGH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-437-1310
Mailing Address - Street 1:6900 DANIELS PKWY
Mailing Address - Street 2:SUITE #32
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-7513
Mailing Address - Country:US
Mailing Address - Phone:717-437-1310
Mailing Address - Fax:
Practice Address - Street 1:6900 DANIELS PKWY
Practice Address - Street 2:SUITE #32
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-7513
Practice Address - Country:US
Practice Address - Phone:717-437-1310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-05
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty