Provider Demographics
NPI:1255743951
Name:LYNOTT CHIROPRACTIC, INC
Entity type:Organization
Organization Name:LYNOTT CHIROPRACTIC, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHANIAL
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:LYNOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LAC
Authorized Official - Phone:562-594-6644
Mailing Address - Street 1:5512 E BRITTON DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-3146
Mailing Address - Country:US
Mailing Address - Phone:562-594-6644
Mailing Address - Fax:
Practice Address - Street 1:5512 E BRITTON DR
Practice Address - Street 2:SUITE 100
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-3146
Practice Address - Country:US
Practice Address - Phone:562-594-6644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LYNOTT CHIROPRACTIC, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-29
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11500171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAV60701Medicare UPIN