Lolita Ann Reasor-Burton, D.C.
Individual provider Active NPI Chiropractor · Paoli, IN
NPI 1487701629 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487701629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08001140A (IN)
- Practice address
- 1670 W Main St
Paoli, IN 47454-9665 - Phone
- (812) 723-2277
- Fax
- (812) 723-2477
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1670 W Main St
Paoli, IN 47454-9665
Phone (812) 723-2277
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120110000420 | IN | Practitioner - Chiropractic | 2769658905 | Practice locations: Paoli, IN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001140A | IN | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001140A | IN | Yes |
Addresses
Primary practice location
1670 W Main St
Paoli, IN 47454-9665
Mailing address
8575 W College St
French Lick, IN 47432-1060
Phone (812) 936-4920
Other providers in Paoli, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.