Provider Demographics
NPI:1790963833
Name:LCHC INC
Entity Type:Organization
Organization Name:LCHC INC
Other - Org Name:LEBON CHIROPRACTIC HEALTH CENTER INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT LCHC
Authorized Official - Prefix:
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEBON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-364-1496
Mailing Address - Street 1:5 GROGANS PARK DRIVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380
Mailing Address - Country:US
Mailing Address - Phone:281-364-1496
Mailing Address - Fax:281-364-1489
Practice Address - Street 1:5 GROGAN'S PARK DRIVE
Practice Address - Street 2:SUITE 103
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2189
Practice Address - Country:US
Practice Address - Phone:281-364-1496
Practice Address - Fax:281-364-1489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU34705Medicare UPIN