Lifesport Chiropractic Chiropractic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

6225 Issued in CO

Legal business name

LIFESPORT CHIROPRACTIC CHIROPRACTIC LLC

Practice address

2955 Valmont Rd
Ste. 100
Boulder, CO 80301-1396

Phone

(303) 877-1458

NPI assigned

Dec 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lisa M Erikson, DCNPI 1699930941

Title

Sole Proprietor

Phone

(303) 877-1458

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa M Erikson, DC

  • Chiropractor
  • Boulder, CO
  • NPI 1699930941
  NPD (past) Authorized official

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270166400000",
    "number": "1447495932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 VALMONT RD",
            "address_2": "STE. 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011396",
            "telephone_number": "303-877-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 VALMONT RD",
            "address_2": "STE. 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011396",
            "telephone_number": "303-877-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPORT CHIROPRACTIC CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2010-04-02",
        "status": "A",
        "authorized_official_last_name": "ERIKSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "303-877-1458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "6225",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CO",
            "license": "6225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lieberman, MFTC
• Katelin Ruth Lieberman
• Sheila K Liewald, L.AC.
• Life'S Hope Therapeutic Services PLLC
• Lifecycle Acupuncture
• Lifetime Wellness of Boulder LLC
• Lifetime Wellness, Inc.
• William C Lillydahl, M.D.
• Li Lin
• Andrew Linares, MA

• Primary Care Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.