Provider Demographics
NPI:1790173375
Name:HUNTER, LAMAR SR (BS, DC)
Entity Type:Individual
Prefix:
First Name:LAMAR
Middle Name:
Last Name:HUNTER
Suffix:SR
Gender:M
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 MAYFIELD RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2602
Mailing Address - Country:US
Mailing Address - Phone:216-459-7998
Mailing Address - Fax:
Practice Address - Street 1:5001 MAYFIELD RD
Practice Address - Street 2:SUITE 130
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2602
Practice Address - Country:US
Practice Address - Phone:216-459-7998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-05
Last Update Date:2016-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4493111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor