Provider Demographics
NPI:1386790509
Name:CYPHER, LORI LYN M (DC)
Entity type:Individual
Prefix:MS
First Name:LORI LYN
Middle Name:M
Last Name:CYPHER
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 1:3004 GOLF RD
Mailing Address - Street 2:SUTIE 100
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701
Mailing Address - Country:US
Mailing Address - Phone:715-834-4516
Mailing Address - Fax:715-834-0552
Practice Address - Street 1:3004 GOLF RD
Practice Address - Street 2:SUITE 100
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701
Practice Address - Country:US
Practice Address - Phone:715-834-4516
Practice Address - Fax:715-834-0552
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4267012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor