Lori Ann Stock, DC

Individual provider Active NPI Chiropractor · Saint Peters, MO

NPI 1336116136 · NPPES record last updated Dec 6, 2012

Key facts

NPI
1336116136
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
2006000335 (MO)
Practice address
331 Jungermann Rd
Saint Peters, MO 63376-5351
Phone
(636) 928-5588
Fax
(636) 922-0071
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2006000335MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Health Center, LLC Chiropractor Past
since Mar 1, 2006
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2006000335 MO Yes

Addresses

Primary practice location

331 Jungermann Rd
Saint Peters, MO 63376-5351

Mailing address

331 Jungermann Rd
Saint Peters, MO 63376-5351
Phone (636) 928-5588

Other providers in Saint Peters, MO

All providers in Saint Peters, MO · Chiropractor in Missouri

Sources for this page

Verify at the official NPI Registry.