Healthcare Provider Details

I. General information

NPI: 1326877713
Provider Name (Legal Business Name): LAWLER CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 OZARK TRAIL DR STE 105
ELLISVILLE MO
63011-2156
US

IV. Provider business mailing address

300 OZARK TRAIL DR STE 105
ELLISVILLE MO
63011-2156
US

V. Phone/Fax

Practice location:
  • Phone: 636-207-6600
  • Fax: 636-207-6631
Mailing address:
  • Phone: 636-207-6600
  • Fax: 636-207-6631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: SARAH LIANN LAWLER
Title or Position: OWNER/CHIROPRACTOR
Credential: DC
Phone: 636-207-6600