L&P Enterprises, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4248 Issued in OH

Legal business name

L&P ENTERPRISES, INC

Doing business as

Great Lakes Chiropractic & Nutrition Center

Practice address

35005 Chardon Rd
Willoughby Hills, OH 44094-9143

Phone

(440) 269-8030

NPI assigned

Jul 22, 2013

Last updated

Jul 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paula Graham, DCNPI 1437233582

Title

Doctor/Clinician

Phone

(440) 269-8030

Specialties & licenses 1

Addresses

Other names 1

• Great Lakes Chiropractic & Nutrition Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

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, and the practitioner matching its NPPES authorized official.

• Paula M Graham, D.C.

  • Chiropractor
  • Willoughby Hills, OH
  • NPI 1437233582
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1932541828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35005 CHARDON RD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949143",
            "telephone_number": "440-269-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35005 CHARDON RD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949143",
            "telephone_number": "440-269-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&P ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DOCTOR/CLINICIAN",
        "authorized_official_telephone_number": "440-269-8030",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Chiropractic & Nutrition Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Andrew Koludrovich, DPM
• Michael Paul Koniarczyk, M.D.
• Brandon George Kopfstein, DPT
• Matthew Gerard Kramer
• Gina Ivana Kucmanic, RD
• Lake Hospital System Inc
• Cierra Lamar, LPN
• Deasha Ann Monae Lawrence
• Marlene Lefton, LISW-S
• Melissa Ann Leland

• Chiropractor in Willoughby Hills, OH
• Providers in Willoughby Hills, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.