Evergreen Life Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010513 Issued in MI

Legal business name

EVERGREEN LIFE CHIROPRACTIC

Practice address

32000 Woodward Ave
Suite a
Royal Oak, MI 48073-0998

Phone

(248) 838-3195

NPI assigned

Mar 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kristen Lazzell, D.C.

Title

Chiropractor

Phone

(248) 607-9511

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508025600000",
    "number": "1093255127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32000 WOODWARD AVE",
            "address_2": "SUITE A",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730998",
            "telephone_number": "248-838-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32000 WOODWARD AVE",
            "address_2": "SUITE A",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730998",
            "telephone_number": "248-838-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-10-15",
        "status": "A",
        "authorized_official_last_name": "LAZZELL",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "248-607-9511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guillermo Rafael Ethier, DNP
• Eugene Baron, O.D., P.C.
• Alexander Lennon Evans
• Maggie Elizabeth Silvasi Evans, D.D.S.
• Precious T Evans
• Heather Evjen, M.A.,L.L.P.
• Evoke Medical Services
• Evoke Medical Services, Inc
• Exclusive Physicians PLLC
• Idil Ezhuthachan, M.D.

• Chiropractor in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2017; 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.