Provider Demographics
NPI:1881616910
Name:HOPSON, LANA D (DC)
Entity type:Individual
Prefix:DR
First Name:LANA
Middle Name:D
Last Name:HOPSON
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 1:1404 RICE RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-3261
Mailing Address - Country:US
Mailing Address - Phone:903-581-4393
Mailing Address - Fax:903-581-8511
Practice Address - Street 1:1404 RICE RD
Practice Address - Street 2:SUITE 400
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-3261
Practice Address - Country:US
Practice Address - Phone:903-581-4393
Practice Address - Fax:903-581-8511
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8453111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU79169Medicare UPIN
TX609349Medicare PIN