LSSR Management Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

TX12285 Issued in TX

Legal business name

LSSR MANAGEMENT INC

Practice address

13777 Judson Rd
Suite 107
San Antonio, TX 78233-4514

Phone

(847) 975-4645

NPI assigned

Jan 13, 2015

Organization subpart

No

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

Authorized official

Name

Corey William Sorum, DCNPI 1851632764

Title

Vice President/Clinic Director

Phone

(847) 975-4645

Specialties & licenses 3

Addresses

Other names 1

• Lone Star Spine and Rehab 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.

• Corey William Sorum, D.C.

  • Chiropractor
  • San Antonio, TX
  • NPI 1851632764
  NPD (past) Authorized official

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1356730352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47626",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782658626",
            "telephone_number": "847-975-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13777 JUDSON RD",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782334514",
            "telephone_number": "847-975-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSSR MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "SORUM",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "VICE PRESIDENT/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "847-975-4645",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "TX12285",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "TX12285",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "TX12285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Spine and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yvette Marie Lozano, MA, CCC/SLP
• Yvonne Marie Lozano, L.M.F.T.,
• LRD Texas LLC
• LRV Surgical LLC
• Lsa Sa LLC
• Connie Yiran Lu, MD
• Douglas Lu, DC, PT, FNP-C
• Edward T. Lu, MD
• Lucy Lu, M.D.
• Ting-Wei Lu, M.D.

• Chiropractor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.