Lauren Alison Medina, DC
Individual provider Active NPI Chiropractor · Wildwood, MO
NPI 1699314880 · NPPES record last updated Jan 5, 2020
Key facts
- NPI
- 1699314880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2020000337 (MO)
- Practice address
- 17197 New College Ave
Wildwood, MO 63040-1100 - Phone
- (636) 273-4800
- NPI assigned
- Jan 5, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 212 Degrees of Wellness, LLC | Current |
Accepting new patients |
Locations
17197 New College Ave
#212
Wildwood, MO 63040
Phone (636) 273-4800
17197 New College Ave
Wildwood, MO 63040
Phone (636) 273-4800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2020000337 | MO | Yes |
Addresses
Primary practice location
17197 New College Ave
Wildwood, MO 63040-1100
Mailing address
1756 Wilmes Rd
Wentzville, MO 63385-3024
Other providers in Wildwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2020. 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.