MEDICARE: LEBANON CHIROPRACTIC CENTER

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	DC010295	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1316274285	OTHER	CA	INDIVIDUAL NPI

General Provider Information

NPI Number	:	1700208212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEBANON CHIROPRACTIC CENTER

Provider Business Mailing Address
First Line	:	2234 CUMBERLAND ST
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17042-2583
Country	:	US
Telephone Number	:	717-273-3741
Fax Number	:

Provider Business Practice Location Address
First Line	:	2234 CUMBERLAND ST
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17042-2583
Country	:	US
Telephone Number	:	717-273-3741
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JARED STUBBLEFIELD
Credential	:
Telephone Number	:	717-273-3741

Provider Enumeration Date	:	01/17/2014
Last Update Date	:	01/17/2014

Similar Medicare Providers

1952622680 — DR. JOHNPAUL CHUKWUDI CHIZEA M.D.
Practice Location Address:

252 S 4TH ST FL 2
LEBANON, PA
17042-6111

Practice Phone: 717-270-3751
Practice Fax: 717-270-3754

1053053645 — DR. KAYLA ELIZABETH FRESCO MD
Practice Location Address:

1700 S LINCOLN AVE
LEBANON, PA
17042-7529

Practice Phone: 717-272-6621
Practice Fax:

1639796642 — BENJAMIN HAGAN MD
Practice Location Address:

252 S 4TH ST
LEBANON, PA
17042-6111

Practice Phone: 717-270-7688
Practice Fax: 717-270-3790

1902757230 — DR. LILLIAN HEIST PT, DPT
Practice Location Address:

755 NORMAN DR
LEBANON, PA
17042-3704

Practice Phone: 717-273-6706
Practice Fax:

1497743033 — WILLIAM T MERCHANT DO
Practice Location Address:

720 NORMAN DR
LEBANON, PA
17042-7481

Practice Phone: 717-639-3230
Practice Fax: 717-274-1659

1205881018 — JUAN C. BLAS-BORIA M.D.
Practice Location Address:

252 S 4TH ST
LEBANON, PA
17042-6111

Practice Phone: 717-270-7732
Practice Fax: 717-270-7639

Directions to “LEBANON CHIROPRACTIC CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.