Provider Demographics
NPI:1841456605
Name:LAMANNA CHIROPRACTIC II PLLC
Entity type:Organization
Organization Name:LAMANNA CHIROPRACTIC II PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:LAMANNA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-442-1400
Mailing Address - Street 1:13616 N 35TH AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-2174
Mailing Address - Country:US
Mailing Address - Phone:602-442-1400
Mailing Address - Fax:602-978-9700
Practice Address - Street 1:13616 N 35TH AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-2174
Practice Address - Country:US
Practice Address - Phone:602-442-1400
Practice Address - Fax:602-978-9700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5825111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty