Healthcare Provider Details

I. General information

NPI: 1972749778
Provider Name (Legal Business Name): LANAHAN CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2008
Last Update Date: 02/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 OHIO PIKE SUITE 100
CINCINNATI OH
45245-2322
US

IV. Provider business mailing address

901 OHIO PIKE SUITE 100
CINCINNATI OH
45245-2322
US

V. Phone/Fax

Practice location:
  • Phone: 513-753-0066
  • Fax: 513-943-2541
Mailing address:
  • Phone: 513-753-0066
  • Fax: 513-943-2541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1661
License Number StateOH

VIII. Authorized Official

Name: DR. DEANN LANAHAN
Title or Position: OWNER
Credential: D.C.
Phone: 513-753-0066