Provider Demographics
NPI:1386614055
Name:LOUNSBURY, DONALD E JR (DC)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:E
Last Name:LOUNSBURY
Suffix:JR
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 1:2600B LEBANON PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-2403
Mailing Address - Country:US
Mailing Address - Phone:615-883-9000
Mailing Address - Fax:615-391-9056
Practice Address - Street 1:2600B LEBANON PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-2403
Practice Address - Country:US
Practice Address - Phone:615-883-9000
Practice Address - Fax:615-391-9056
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000000535111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNT74638Medicare UPIN