Provider Demographics
NPI:1669271441
Name:LEXINGTON FAMILY CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:LEXINGTON FAMILY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:ASTAPOVEH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:781-861-8499
Mailing Address - Street 1:16 CLARKE ST STE 12
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-4938
Mailing Address - Country:US
Mailing Address - Phone:781-861-8499
Mailing Address - Fax:781-861-8499
Practice Address - Street 1:16 CLARKE ST STE 12
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-4938
Practice Address - Country:US
Practice Address - Phone:781-861-8499
Practice Address - Fax:781-861-8499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty