Lakes Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007525 Issued in MI

Legal business name

LAKES CHIROPRACTIC PLLC

Practice address

45023 W Pontiac TRL
Novi, MI 48377-1255

Phone

(248) 926-1829

Fax

(248) 926-1837

NPI assigned

Nov 29, 2007

Last updated

Jun 3, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin Robert Lee, DCNPI 1659314151

Title

Owner

Phone

(248) 926-1829

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Robert Lee, D.C.

  • Chiropractor
  • Walled Lake, MI
  • NPI 1659314151
  Medicare reassignment NPD Authorized official
• Adam James Woodbeck, D.C.

  • Chiropractor
  • Walled Lake, MI
  • NPI 1023081494
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1053593269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45023 W PONTIAC TRL",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771255",
            "telephone_number": "248-926-1829",
            "fax_number": "248-926-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45023 W PONTIAC TRL",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771255",
            "telephone_number": "248-926-1829",
            "fax_number": "248-926-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-926-1829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lahusky
• Nadine Sadia Laila, OD
• Stephanie Laird, LLP, BCBA
• Thomas Micheal Laird
• Lake Lazer Eye Center
• Lauren Elizabeth Lakin, AGPCNP-BC
• Alyssa Lalonde
• Annette Lalonde
• Caitlyn Lalone
• Angel Lam Cantu

• Chiropractor in Novi, MI
• Providers in Novi, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.