Provider Demographics
NPI:1013300565
Name:ALLDAY, LAUREN (DC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:ALLDAY
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 1:4206 RICHMOND PL
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-0003
Mailing Address - Country:US
Mailing Address - Phone:903-792-2060
Mailing Address - Fax:866-583-6483
Practice Address - Street 1:4206 RICHMOND PL
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-0003
Practice Address - Country:US
Practice Address - Phone:903-792-2060
Practice Address - Fax:866-583-6483
Is Sole Proprietor?:No
Enumeration Date:2015-03-09
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12867111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor