Individual provider Active NPI

Lundell Lee McKittrick, D.C.

  • Chiropractor
  • Haughton, LA
National Provider Identifier
1609921683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
979 Issued in LA
Practice address
1114 Highway 80
Haughton, LA 71037-9426
Phone
(318) 949-0076
Fax
(318) 949-0787
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 979 LA Primary

Addresses

Primary practice location

1114 Highway 80
Haughton, LA 71037-9426

Mailing address

1114 Highway 80
Haughton, LA 71037-9426
Phone (318) 949-0076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
979LAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lundell Enterprises Inc. Chiropractor CurrentSince Nov 4, 2015 Accepting new patients
M.T. Harvey Enterprises LLC PastSince Sep 1, 2007 Accepting new patients
Monroe Chiropractic Clinic Chiropractor Past Accepting new patients
BV Coleman Management Chiropractor PastSince Sep 8, 2016 Accepting new patients

Locations

1114 Highway 80
Haughton, LA 71037
Phone (318) 949-0076

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609921683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 HIGHWAY 80",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710379426",
            "telephone_number": "318-949-0076",
            "fax_number": "318-949-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 HIGHWAY 80",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710379426",
            "telephone_number": "318-949-0076",
            "fax_number": "318-949-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKITTRICK",
        "first_name": "LUNDELL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haughton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.