Provider Demographics
NPI:1902855703
Name:TOLLIVER-FISHER, LAMEKA RESHUAN (DC)
Entity Type:Individual
Prefix:DR
First Name:LAMEKA
Middle Name:RESHUAN
Last Name:TOLLIVER-FISHER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 SHARPSBURG CIR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-1738
Mailing Address - Country:US
Mailing Address - Phone:205-951-3394
Mailing Address - Fax:
Practice Address - Street 1:4643 CAMP COLEMAN RD
Practice Address - Street 2:SUITE 121
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-2821
Practice Address - Country:US
Practice Address - Phone:205-655-4666
Practice Address - Fax:205-655-4556
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2159111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor