Healthcare Provider Details

I. General information

NPI: 1881750099
Provider Name (Legal Business Name): SUSAN MICHAEL LANKER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 DOUGLAS DR
GAHANNA OH
43230-2908
US

IV. Provider business mailing address

150 DOUGLAS DR
GAHANNA OH
43230-2908
US

V. Phone/Fax

Practice location:
  • Phone: 503-440-0416
  • Fax:
Mailing address:
  • Phone: 503-440-0416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3178
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2734
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: