Provider Demographics
NPI:1871971473
Name:LAMONI FAMILY CARE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:LAMONI FAMILY CARE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:NOWLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:641-784-6677
Mailing Address - Street 1:303 S LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:LAMONI
Mailing Address - State:IA
Mailing Address - Zip Code:50140-1616
Mailing Address - Country:US
Mailing Address - Phone:641-784-6677
Mailing Address - Fax:641-784-7593
Practice Address - Street 1:303 S LINDEN ST
Practice Address - Street 2:
Practice Address - City:LAMONI
Practice Address - State:IA
Practice Address - Zip Code:50140-1616
Practice Address - Country:US
Practice Address - Phone:641-784-6677
Practice Address - Fax:641-784-7593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05931-IA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty