Provider Demographics
NPI:1033088489
Name:HAVEN CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:HAVEN CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:LYBBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:231-580-7434
Mailing Address - Street 1:2312 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61201-8923
Mailing Address - Country:US
Mailing Address - Phone:563-265-0902
Mailing Address - Fax:
Practice Address - Street 1:2312 5TH AVE
Practice Address - Street 2:
Practice Address - City:ROCK ISLAND
Practice Address - State:IL
Practice Address - Zip Code:61201-8923
Practice Address - Country:US
Practice Address - Phone:563-265-0902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty