MEDICARE: LN SPINE STUDIO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1952273930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LN SPINE STUDIO LLC

Provider Business Mailing Address
First Line	:	50 AVE RAMON L RODRIGUEZ APT 1532
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00959-5910
Country	:	US
Telephone Number	:	787-638-0605
Fax Number	:

Provider Business Practice Location Address
First Line	:	BLOQUE 51 #55
Second Line	:	CALLE MARGINAL SANTA ROSA LOCAL 1
City	:	BAYAMON
State	:	PR
Zip	:	00959-6837
Country	:	US
Telephone Number	:	787-638-0605
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LYDIA N ORTIZ SAMOT
Credential	:
Telephone Number	:	787-638-0605

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	09/19/2025

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Directions to “LN SPINE STUDIO LLC ” Practice Location

Language	Start Address	Practice Location

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