Provider Demographics
NPI:1841098381
Name:LANTERN CHIROPRACTIC LLC
Entity type:Organization
Organization Name:LANTERN CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JARETT
Authorized Official - Middle Name:
Authorized Official - Last Name:REUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:417-231-7564
Mailing Address - Street 1:2404 STATE HIGHWAY 248 STE 3
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-9627
Mailing Address - Country:US
Mailing Address - Phone:417-336-5856
Mailing Address - Fax:
Practice Address - Street 1:2404 STATE HIGHWAY 248 STE 3
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-9627
Practice Address - Country:US
Practice Address - Phone:417-336-5856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty