Provider Demographics
NPI:1851505010
Name:LOUNSBURY CHIROPRACTIC OFFICE INC
Entity Type:Organization
Organization Name:LOUNSBURY CHIROPRACTIC OFFICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LOUNSBURY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:304-425-5561
Mailing Address - Street 1:PO BOX 285
Mailing Address - Street 2:1307 MERCER ST
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740
Mailing Address - Country:US
Mailing Address - Phone:304-425-5561
Mailing Address - Fax:304-425-5561
Practice Address - Street 1:1307 MERCER ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740
Practice Address - Country:US
Practice Address - Phone:304-425-5561
Practice Address - Fax:304-425-5561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV205111N00000X
SC1008111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1881726727OtherUPN
1881726727OtherUPN
LOSP00331Medicare UPIN