Lori McLellan, DC
Individual provider Active NPI Chiropractor · Howard City, MI
NPI 1528097862 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1528097862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301006147 (MI)
- Practice address
- 608 W Shaw St
Howard City, MI 49329-9494 - Phone
- (231) 937-9700
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301006147 | MI | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301006147 | MI | Yes |
Addresses
Primary practice location
608 W Shaw St
Howard City, MI 49329-9494
Mailing address
PO Box 402
Howard City, MI 49329-0402
Phone (231) 937-9700
Other providers in Howard City, MI
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.