Healthcare Provider Details

I. General information

NPI: 1023102670
Provider Name (Legal Business Name): LFCC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 TOWN CENTER DR
ORANGE CITY FL
32763-8360
US

IV. Provider business mailing address

1051 TOWN CENTER DR
ORANGE CITY FL
32763-8360
US

V. Phone/Fax

Practice location:
  • Phone: 386-775-3600
  • Fax: 386-775-3602
Mailing address:
  • Phone: 386-775-3600
  • Fax: 386-775-3602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH8504
License Number StateFL

VIII. Authorized Official

Name: MRS. TRICIA KEELAN LECHMAIER
Title or Position: PRESIDENT/ OWNER
Credential: D.C.
Phone: 407-834-2225