Lake Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104556095 Issued in VA

Legal business name

LAKE CHIROPRACTIC, PC

Practice address

11 Centre CT
Palmyra, VA 22963-2329

Phone

(434) 589-8005

Fax

(434) 589-1401

NPI assigned

Jan 26, 2007

Last updated

Jan 20, 2026By 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

Richard E. Wells Jr., DCNPI 1760407811

Title

President

Phone

(434) 589-8005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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.

• Richard E. Wells Jr., D.C.

  • Chiropractor
  • Palmyra, VA
  • NPI 1760407811
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1972659464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CENTRE CT",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229632329",
            "telephone_number": "434-589-8005",
            "fax_number": "877-222-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CENTRE CT",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229632329",
            "telephone_number": "434-589-8005",
            "fax_number": "434-589-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-589-8005",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selina Y Kelete
• Kerri Rachelle, LLC (REV0lution)
• Lissette Kinsella, FNP
• Anna Kryachkova, RDN, LD
• Lake Centre Pharmacy
• Marion Henson Lamb, RN, IBCLC
• Lucy Ricardo Larsen, L.AC.
• Edward Joseph Lauterbach, D.C.
• Karen Lauzon, RD
• Lonnell Fericl Lewis

• Chiropractor in Palmyra, VA
• Providers in Palmyra, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.