Lakeway Spine Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10245 Issued in TX

Legal business name

LAKEWAY SPINE CENTER, INC.

Doing business as

Lake Travis Spine Center

Practice address

11614 Argonne Forest TRL # B
Austin, TX 78759-2226

Phone

(512) 294-2210

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Michelle Luise-Williams, D.C.

Title

President

Phone

(512) 294-2210

Specialties & licenses 1

Addresses

Other names 1

• Lake Travis Spine Center Doing business as

Locations

Practitioners 1

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.

• Andrea Michelle Luise, D.C.

  • Chiropractor
  • Bee Cave, TX
  • NPI 1942304480
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073624110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 RANCH ROAD 620 S",
            "address_2": "SUITE 201-B",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11614 ARGONNE FOREST TRL # B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592226",
            "telephone_number": "512-294-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWAY SPINE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUISE-WILLIAMS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-294-2210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Travis Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakeview Family Health Clinic
• Lakeway Dental Office, P.a.
• Lakeway Pediatric Dental, PLLC (Lone Star Pediatric Dental)
• Lakeway Psychiatry and Behavioral Health
• Lakeway Smiles
• Hina Lakhani
• Sharmila Lakhani, FNP
• Janesh Lakhoo, M.D
• Morgan L Lakner, WHNP
• Bridgit Joyce Lakoski, LPC-A

• Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.