Jeffrey Thomas Lawlor, D.C.
Individual provider Active NPI Chiropractor · Weldon Spring, MO
NPI 1013263391 · NPPES record last updated Jul 24, 2012
Key facts
- NPI
- 1013263391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2012024961 (MO)
- Practice address
- 6028 Weldon Spring Pkwy
Weldon Spring, MO 63304-9103 - Phone
- (636) 300-8250
- NPI assigned
- Jul 24, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lawlor Chiropractic LLC
Practice addresses (Care Compare)
6028 Weldon Spring Pkwy
Weldon Spring, MO 63304-9103
Phone (636) 300-8250
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130220000043 | MO | Practitioner - Chiropractic | 3375798523 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012024961 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawlor Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
6028 Weldon Spring Pkwy
Weldon Spring, MO 63304
Phone (636) 300-8250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2012024961 | MO | Yes |
Addresses
Primary practice location
6028 Weldon Spring Pkwy
Weldon Spring, MO 63304-9103
Mailing address
6028 Weldon Spring Pkwy
Weldon Spring, MO 63304-9103
Phone (636) 300-8250
Other providers in Weldon Spring, MO
- Despina (Penny) Angela Kyramarios
- Tamara A Lakinger
- Christina Melin Larrigan
- Mallory Gail Lavin
- Lawlor Chiropractic LLC
- Ulunma Lawson
- Ashley Lazier
- Sarah Elizabeth Lednick
- Chelsea Lentine
- Little Hills Healthcare LLC
All providers in Weldon Spring, MO · Chiropractor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.