Provider Demographics
NPI:1124690458
Name:ACUTE CHIROPRACTIC LAKEWOOD PLLC
Entity type:Organization
Organization Name:ACUTE CHIROPRACTIC LAKEWOOD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-426-1000
Mailing Address - Street 1:6020 MAIN ST SW STE C
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-6506
Mailing Address - Country:US
Mailing Address - Phone:253-426-1000
Mailing Address - Fax:253-267-1463
Practice Address - Street 1:6020 MAIN ST SW STE C
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-6506
Practice Address - Country:US
Practice Address - Phone:253-426-1000
Practice Address - Fax:253-267-1463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty