Provider Demographics
NPI:1316923659
Name:LEBEL, LYNN R (DC)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:R
Last Name:LEBEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 BOSTON RD
Mailing Address - Street 2:STE L
Mailing Address - City:WILBRAHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01095-1253
Mailing Address - Country:US
Mailing Address - Phone:413-271-1020
Mailing Address - Fax:413-271-1023
Practice Address - Street 1:2141 BOSTON RD
Practice Address - Street 2:STE L
Practice Address - City:WILBRAHAM
Practice Address - State:MA
Practice Address - Zip Code:01095-1253
Practice Address - Country:US
Practice Address - Phone:413-271-1020
Practice Address - Fax:413-271-1023
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1039111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1604244Medicaid
MA646701OtherACN
MA9316670OtherCIGNA
MAY35722OtherBC/BS OF MASS
MA8087OtherCONNECTICUT CARE
MA8087OtherCONNECTICUT CARE
MAT58352Medicare UPIN