Healthcare Provider Details
I. General information
NPI: 1326084781
Provider Name (Legal Business Name): LAMEY CHIROPRACTIC, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2006
Last Update Date: 04/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
523 HARKRIDER ST
CONWAY AR
72032-5631
US
IV. Provider business mailing address
PO BOX 506 523 HARKRIDER
CONWAY AR
72033-0506
US
V. Phone/Fax
- Phone: 501-327-4484
- Fax: 501-327-5963
- Phone: 501-327-4484
- Fax: 501-327-5963
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 902 |
| License Number State | AR |
VIII. Authorized Official
Name: DR.
ADAM
B
LAMEY
Title or Position: OWNER
Credential: D.C.
Phone: 501-327-4484