Provider Demographics
NPI:1780839647
Name:FAISON, LOWELL T (DC)
Entity Type:Individual
Prefix:DR
First Name:LOWELL
Middle Name:T
Last Name:FAISON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:LT
Other - Middle Name:
Other - Last Name:FAISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 1146
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560
Mailing Address - Country:US
Mailing Address - Phone:855-590-9527
Mailing Address - Fax:855-984-1496
Practice Address - Street 1:10520 CHAPEL HILL ROAD
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560
Practice Address - Country:US
Practice Address - Phone:855-590-9527
Practice Address - Fax:855-984-1496
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002408A111N00000X
NC4283111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor