Healthcare Provider Details

I. General information

NPI: 1306806906
Provider Name (Legal Business Name): LURA-BETH WILLIAMS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LURA-BETH HENSLEY

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 3RD AVE
CHESAPEAKE OH
45619-1038
US

IV. Provider business mailing address

601 3RD AVE
CHESAPEAKE OH
45619-1038
US

V. Phone/Fax

Practice location:
  • Phone: 740-867-4080
  • Fax:
Mailing address:
  • Phone: 740-867-4080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4290
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2280
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: