Provider Demographics
NPI:1952020737
Name:LP HEALTHCARE LLC
Entity Type:Organization
Organization Name:LP HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PAMPENA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:470-519-8370
Mailing Address - Street 1:3060 EVERGREEN EVE XING
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-3059
Mailing Address - Country:US
Mailing Address - Phone:470-519-8370
Mailing Address - Fax:
Practice Address - Street 1:2407 LENORA CHURCH RD
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6916
Practice Address - Country:US
Practice Address - Phone:470-519-8370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty