Provider Demographics
NPI:1841598190
Name:LAKEWOOD HEALING HANDS
Entity Type:Organization
Organization Name:LAKEWOOD HEALING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-524-7100
Mailing Address - Street 1:905 NE WOODS CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1989
Mailing Address - Country:US
Mailing Address - Phone:816-524-7100
Mailing Address - Fax:816-838-0113
Practice Address - Street 1:905 NE WOODS CHAPEL RD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1989
Practice Address - Country:US
Practice Address - Phone:816-524-7100
Practice Address - Fax:816-838-0113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010018252111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1760798573OtherIND NPI