Provider Demographics
NPI:1982461653
Name:LAKEWOOD INJURY CHIROPRACTIC
Entity Type:Organization
Organization Name:LAKEWOOD INJURY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-459-3868
Mailing Address - Street 1:124 BRUSH CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:SAINT ROBERT
Mailing Address - State:MO
Mailing Address - Zip Code:65584-9516
Mailing Address - Country:US
Mailing Address - Phone:171-945-9386
Mailing Address - Fax:
Practice Address - Street 1:5815 LAKEWOOD TOWNE CENTER BLVD SW STE 14A
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-6519
Practice Address - Country:US
Practice Address - Phone:360-970-4336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty