Healthcare Provider Details

I. General information

NPI: 1497258701
Provider Name (Legal Business Name): LYFE CHIROPRACTIC & WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2018
Last Update Date: 03/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 LAFAYETTE ROAD SUITE 101
HAMPTON NH
03842
US

IV. Provider business mailing address

428 LAFAYETTE ROAD SUITE 101
HAMPTON NH
03842
US

V. Phone/Fax

Practice location:
  • Phone: 603-777-6712
  • Fax:
Mailing address:
  • Phone: 603-777-6712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. GEORGE WILLIAM CAMPBELL III
Title or Position: MANAGER/CHIROPRACTOR
Credential: DC
Phone: 603-777-6712