Individual provider Active NPI

Lisa Marie Lundstrom, D.C.

  • Chiropractor
  • Sturgis, SD
National Provider Identifier
1962409771
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
905 Issued in SD
Practice address
2709 Lazelle St Ste B
Sturgis, SD 57785-2999
Phone
(605) 720-6288
NPI assigned
Jul 7, 2005
Last updated
Mar 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 905 SD Primary

Addresses

Primary practice location

2709 Lazelle St Ste B
Sturgis, SD 57785-2999

Mailing address

2709 Lazelle St Ste B
Sturgis, SD 57785-2999
Phone (605) 720-6288

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lundstrom Chiropractic, P.C. Chiropractor CurrentSince Jun 2, 2004 Accepting new patients
Lisa Lundstrom Chiropractic PC Chiropractor CurrentSince Mar 25, 2019 Accepting new patients

Locations

902 Columbus St
Rapid City, SD 57701
Phone (605) 348-2273

2709 Lazelle St
Ste B
Sturgis, SD 57785
Phone (605) 720-6288

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1962409771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 LAZELLE ST STE B",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577852999",
            "telephone_number": "605-720-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 LAZELLE ST STE B",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577852999",
            "telephone_number": "605-720-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDSTROM",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.