Active NPI
Lazzell Family Chiropractic, LLC
- Chiropractor
- Lake Orion, MI
National Provider Identifier
1124740113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- LAZZELL FAMILY CHIROPRACTIC, LLC
- Practice address
- 4110 S Baldwin Rd
Lake Orion, MI 48359-2102 - Phone
- (248) 927-2006
- NPI assigned
- Sep 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Lazzell, DC
- Title
- Doctor/Owner
- Phone
- (248) 762-5408
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
4110 S Baldwin Rd
Lake Orion, MI 48359-2102
Mailing address
4110 S Baldwin Rd
Lake Orion, MI 48359-2102
Phone (248) 927-2006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4110 S Baldwin Rd
Orion, MI 48359
Phone (248) 391-1040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lake Orion, MI
- NPI 1902340979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663200000000",
"number": "1124740113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 S BALDWIN RD",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483592102",
"telephone_number": "248-927-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 S BALDWIN RD",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483592102",
"telephone_number": "248-927-2006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAZZELL FAMILY CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-15",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A",
"authorized_official_last_name": "LAZZELL",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "248-762-5408",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Orion, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.