Healthcare Provider Details

I. General information

NPI: 1568749596
Provider Name (Legal Business Name): DAWN LACHELLE SYKES DC, CICE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2011
Last Update Date: 09/05/2022
Certification Date: 09/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
US

IV. Provider business mailing address

100 BREWSTER BLVD
CAMP LEJEUNE NC
28547-2575
US

V. Phone/Fax

Practice location:
  • Phone: 910-442-0252
  • Fax: 910-442-0626
Mailing address:
  • Phone: 910-442-0252
  • Fax: 910-442-0626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH030167DC
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3624
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberS03846
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: