Provider Demographics
NPI:1932541828
Name:L&P ENTERPRISES, INC
Entity Type:Organization
Organization Name:L&P ENTERPRISES, INC
Other - Org Name:GREAT LAKES CHIROPRACTIC & NUTRITION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:440-269-8030
Mailing Address - Street 1:35005 CHARDON RD
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44094-9143
Mailing Address - Country:US
Mailing Address - Phone:440-269-8030
Mailing Address - Fax:
Practice Address - Street 1:35005 CHARDON RD
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-9143
Practice Address - Country:US
Practice Address - Phone:440-269-8030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4248111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty