Provider Demographics
NPI:1295301604
Name:BRYSON, LORI BETH ARMSTRONG (DC)
Entity type:Individual
Prefix:DR
First Name:LORI BETH
Middle Name:ARMSTRONG
Last Name:BRYSON
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 1:611 INTERMONT RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-4824
Mailing Address - Country:US
Mailing Address - Phone:423-827-4528
Mailing Address - Fax:
Practice Address - Street 1:409 US-64
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:TN
Practice Address - Zip Code:37361-3741
Practice Address - Country:US
Practice Address - Phone:423-827-4528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010445111N00000X
TN3433111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor