Provider Demographics
NPI:1992822662
Name:LAMK, LLC
Entity Type:Organization
Organization Name:LAMK, LLC
Other - Org Name:TEXAS CHIROPRACTIC AND THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR - OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSAD-KOSKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-892-3434
Mailing Address - Street 1:4220 WEST WILLIAM CANNON STE. 130
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-1570
Mailing Address - Country:US
Mailing Address - Phone:512-892-3434
Mailing Address - Fax:512-892-3433
Practice Address - Street 1:4220 WEST WILLIAM CANNON STE. 130
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1570
Practice Address - Country:US
Practice Address - Phone:512-892-3434
Practice Address - Fax:512-892-3433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty