LCM Mind Body Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LCM MIND BODY CORPORATION

Doing business as

McCormick Chiropractic

Practice address

92 Kemp Rd
Pottstown, PA 19465-7639

Phone

(610) 705-0201

NPI assigned

Jun 6, 2023

Last updated

Jun 24, 2023By 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. Lydia Rola, DC

Title

Ceo

Phone

(610) 705-0201

Specialties & licenses 1

Addresses

Other names 1

• McCormick Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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.

• Darryl Ward Hajduczek, D.C.

  • Chiropractor
  • Pottstown, PA
  • NPI 1952444168
  Medicare reassignment Care Compare group NPD
• Connor McCormick, D.C.

  • Chiropractor
  • Pottstown, PA
  • NPI 1750734034
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687564800000",
    "number": "1215621883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 KEMP RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657639",
            "telephone_number": "610-705-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 KEMP RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657639",
            "telephone_number": "610-705-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCM MIND BODY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-24",
        "certification_date": "2023-06-24",
        "status": "A",
        "authorized_official_last_name": "ROLA",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-705-0201",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "McCormick Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Marie Latey
• Yuri Laubach
• Malicka Alieyh Lauffer
• Barbara Laverghetta, C.R.N.P.
• Nathan Lazurus
• Leaps and Bounds Therapy
• Kathryn Leber
• Kate Lebo
• Ashley Lederach
• Emma Jean Ledwith

• Chiropractor in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2023; 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.