Provider Demographics
NPI:1255079794
Name:SINCLAIR, LAURA LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:LYNN
Last Name:SINCLAIR
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 1:1120 EBENEZER AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3023
Mailing Address - Country:US
Mailing Address - Phone:803-328-8400
Mailing Address - Fax:
Practice Address - Street 1:1120 EBENEZER AVENUE EXT
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3023
Practice Address - Country:US
Practice Address - Phone:803-328-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4703111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor