Provider Demographics
NPI:1962862458
Name:DR. TYLER T LANNING DC LLC
Entity Type:Organization
Organization Name:DR. TYLER T LANNING DC LLC
Other - Org Name:TYLER T LANNING, DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:T
Authorized Official - Last Name:LANNING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:937-848-8500
Mailing Address - Street 1:4299 SUGARCREEK DR
Mailing Address - Street 2:
Mailing Address - City:BELLBROOK
Mailing Address - State:OH
Mailing Address - Zip Code:45305-1330
Mailing Address - Country:US
Mailing Address - Phone:937-848-8500
Mailing Address - Fax:937-848-9500
Practice Address - Street 1:4299 SUGARCREEK DR
Practice Address - Street 2:
Practice Address - City:BELLBROOK
Practice Address - State:OH
Practice Address - Zip Code:45305-1330
Practice Address - Country:US
Practice Address - Phone:937-848-8500
Practice Address - Fax:937-848-9500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-26
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4568111N00000X, 111NN0400X, 111NR0400X, 111NX0100X, 111NX0800X, 246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
No111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Single Specialty
No111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty