Provider Demographics
NPI:1245641778
Name:THE LANHAM THERAPY CENER
Entity type:Organization
Organization Name:THE LANHAM THERAPY CENER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:PACI
Authorized Official - Suffix:
Authorized Official - Credentials:DC, PC
Authorized Official - Phone:301-441-4949
Mailing Address - Street 1:7474 GREENWAY CENTER DR STE 820
Mailing Address - Street 2:STE. 820
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3538
Mailing Address - Country:US
Mailing Address - Phone:301-441-4949
Mailing Address - Fax:
Practice Address - Street 1:7474 GREENWAY CENTER DR STE 820
Practice Address - Street 2:STE.820
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3538
Practice Address - Country:US
Practice Address - Phone:301-441-4949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01711111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty