Healthcare Provider Details

I. General information

NPI: 1982513008
Provider Name (Legal Business Name): DL CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 MONTGOMERY BLVD NE BLDG E9
ALBUQUERQUE NM
87109-1554
US

IV. Provider business mailing address

8008 BASALT AVE NW
ALBUQUERQUE NM
87120-6534
US

V. Phone/Fax

Practice location:
  • Phone: 505-888-6800
  • Fax:
Mailing address:
  • Phone: 505-581-0881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LYNNA LIES
Title or Position: OWNER
Credential: DC
Phone: 505-581-0881