Provider Demographics
NPI:1134528292
Name:L & R CHIROPRACTIC AND PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:L & R CHIROPRACTIC AND PHYSICAL THERAPY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:347-644-2424
Mailing Address - Street 1:3827 98TH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-3679
Mailing Address - Country:US
Mailing Address - Phone:347-644-2424
Mailing Address - Fax:347-934-9444
Practice Address - Street 1:3827 98TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-3679
Practice Address - Country:US
Practice Address - Phone:347-644-2424
Practice Address - Fax:347-934-9444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty