Dr. Lynn I. Labbe, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06492 Issued in IA

Legal business name

DR. LYNN I. LABBE, P.C.

Practice address

3250 10TH Ave
Ste. 1
Marion, IA 52302-1507

Phone

(319) 377-1234

Fax

(319) 377-1930

NPI assigned

Aug 26, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Lynn Irene Banderob, D.C.NPI 1174516843

Title

President

Phone

(319) 377-1234

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Linn-Mar Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

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.

• Lynn Irene Banderob, D.C.

  • Chiropractor
  • Marion, IA
  • NPI 1174516843
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1497748164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 10TH AVE",
            "address_2": "STE. 1",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523021507",
            "telephone_number": "319-377-1234",
            "fax_number": "319-377-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 10TH AVE",
            "address_2": "STE. 1",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523021507",
            "telephone_number": "319-377-1234",
            "fax_number": "319-377-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LYNN I. LABBE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "BANDEROB",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-377-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0483743",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUECROSS BLUESH",
            "identifier": "49109",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linn-Mar Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Marion, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.