Provider Demographics
NPI:1811449481
Name:LALIN, PLLC
Entity type:Organization
Organization Name:LALIN, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GAUTIER
Authorized Official - Middle Name:
Authorized Official - Last Name:LALIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-241-4070
Mailing Address - Street 1:11 E FRONT ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48161-2228
Mailing Address - Country:US
Mailing Address - Phone:734-241-4070
Mailing Address - Fax:734-241-0159
Practice Address - Street 1:11 E FRONT ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-2228
Practice Address - Country:US
Practice Address - Phone:734-241-4070
Practice Address - Fax:734-241-0159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010347111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty