Provider Demographics
NPI:1831751825
Name:LAHR, SAMUEL (DC)
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:
Last Name:LAHR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S 8TH CT UNIT 67
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50125-2747
Mailing Address - Country:US
Mailing Address - Phone:563-920-8081
Mailing Address - Fax:
Practice Address - Street 1:925 SE GATEWAY DR # 300
Practice Address - Street 2:
Practice Address - City:GRIMES
Practice Address - State:IA
Practice Address - Zip Code:50111-6632
Practice Address - Country:US
Practice Address - Phone:515-986-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA097358111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor