Lakeshore Chiropractic Wellness Pllc

NPI #1396525002 in Derby, New York

Provider Information

NPI Number: 1396525002
Entity Type: Organization
Organization Name: Lakeshore Chiropractic Wellness Pllc
Primary Specialty: Chiropractor
Enumeration Date: Oct 2, 2023
Last Updated: Feb 23, 2024

Practice Location

Address: 6778 ERIE RD
City: Derby
State: New York
ZIP Code: 14047-9672
Phone: (716) 947-5106

Authorized Official

Name: DR. TIMOTHY ALAN SMITH, DC
Title: OWNER - CHIROPRACTOR
Phone: (716) 208-6039

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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