Laurent Wanner Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0200250 Issued in CA

Legal business name

LAURENT WANNER CHIROPRACTIC, INC

Doing business as

WANNER SPORTS & FAMILY CHIROPRACTIC

Practice address

1000 Northcrest Dr
Ste 3
Crescent City, CA 95531-2317

Phone

(707) 465-4132

Fax

(707) 465-4132

NPI assigned

Oct 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Laurent Edward Wanner, D.C.

Title

Owner

Phone

(707) 465-4132

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WANNER SPORTS & FAMILY CHIROPRACTIC Doing business as

Tax ID family

Laurent E Wanner Chiropractic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Laurent Wanner Chiropractic, Inc.

  • Health Service Clinic/Center
  • Crescent City, CA
  • NPI 1720387228
  NPD tax ID

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1649721523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NORTHCREST DR",
            "address_2": "STE 3",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312317",
            "telephone_number": "707-465-4132",
            "fax_number": "707-465-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTHCREST DR",
            "address_2": "STE 3",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955312317",
            "telephone_number": "707-465-4132",
            "fax_number": "707-465-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENT WANNER CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "WANNER",
        "authorized_official_first_name": "LAURENT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-465-4132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0200250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0200250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WANNER SPORTS & FAMILY CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lantern of Crescent City LLC
• Richard Hopkins Lantz, LMFT
• Sherry Marie Latham, A.A./PSYC TECH
• Nanette Latimer, PHARMACIST
• Laurent E Wanner Chiropractic Inc
• Laurent Wanner Chiropractic, Inc.
• Yelena Zaitseva Lavender, LCSW74244
• Beverley Lawrence, FNP
• Rebecca Ann Lawrence, LMFT, RN
• Micah Leaver

• Chiropractor in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.