Provider Demographics
NPI:1821454448
Name:SCHULKE, LOTEM LEAH (DC)
Entity type:Individual
Prefix:DR
First Name:LOTEM
Middle Name:LEAH
Last Name:SCHULKE
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 1:2487 CEDARCREST RD STE 713
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-2730
Mailing Address - Country:US
Mailing Address - Phone:470-580-4922
Mailing Address - Fax:
Practice Address - Street 1:2487 CEDARCREST RD STE 713
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-2730
Practice Address - Country:US
Practice Address - Phone:470-580-4922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-12
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009629111NP0017X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor