Provider Demographics
NPI:1316078215
Name:LAMEY, ERIC RYAN (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:RYAN
Last Name:LAMEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3580 OAK DR
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-3748
Mailing Address - Country:US
Mailing Address - Phone:517-467-4191
Mailing Address - Fax:
Practice Address - Street 1:257 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ONSTED
Practice Address - State:MI
Practice Address - Zip Code:49265-9763
Practice Address - Country:US
Practice Address - Phone:517-467-4191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008833111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOP00100Medicare ID - Type Unspecified