MEDICARE: MRS. AMANDA LAYTHAM LOPICCOLO DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4378	NC

General Provider Information

NPI Number	:	1538317094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA LAYTHAM LOPICCOLO DC

Provider Business Mailing Address
First Line	:	154 VILLAGE WALK DR
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540
Country	:	US
Telephone Number	:	984-225-2149
Fax Number	:	984-538-0421

Provider Business Practice Location Address
First Line	:	154 VILLAGE WALK DR
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540
Country	:	US
Telephone Number	:	984-225-2149
Fax Number	:	984-538-0421

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2008
Last Update Date	:	03/02/2026

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