Lau Chiropractic and Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3689012 Issued in WI

Legal business name

LAU CHIROPRACTIC AND WELLNESS CENTER, LLC

Practice address

120 Commercial St
Berlin, WI 54923-1737

Phone

(920) 361-9917

Fax

(920) 361-9823

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Roger Lau, D.C.NPI 1144375924

Title

Chiropractor

Phone

(920) 361-9917

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Christopher Roger Lau, DC

  • Chiropractor
  • Berlin, WI
  • NPI 1144375924
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1487896858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 COMMERCIAL ST",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231737",
            "telephone_number": "920-361-9917",
            "fax_number": "920-361-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 COMMERCIAL ST",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231737",
            "telephone_number": "920-361-9917",
            "fax_number": "920-361-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAU CHIROPRACTIC AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-361-9917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3689012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38927100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin John Kozloski, CRNA
• Keith Anthony Krause, CRNA
• Stephanie Krause, PA
• Danielle Lynn Krueger, RD
• Lakeside Neurocare Limited
• Christopher Roger Lau, DC
• Vy Vivian Le, DDS
• Kathleen J Legare, RD
• Hannah Jayne Lehocky, SLP
• Timothy Leinbach

• All providers in Berlin, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.