National Provider Identifier
Lifetime Wellness Chiropractic Of Western New York
Lifetime Wellness Chiropractic Of Western New York is listed in the NPPES registry with a primary specialty of Nutrition Chiropractor in Rochester, NY and a listed phone number of (585) 471-5919.
Profile Overview
- NPI
- 1124487194
- Provider Type
- Organization
- Primary Specialty
- Nutrition Chiropractor
- Enumeration Date
- February 18, 2016
- Last Updated
- February 18, 2016
Practice Location
- 1580 Elmwood Ave
- Suite 1A
- Rochester, NY 14620-3620
Phone: (585) 471-5919
Specialties
- Nutrition Chiropractor (111NN1001X)
Full Record
- NPI
- 1124487194
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Lifetime Wellness Chiropractic Of Western New York
- Mailing Street Address
- 1580 Elmwood Ave
- Mailing Address Line 2
- Suite 1A
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3620
- Mailing Country
- US
- Mailing Phone
- (585) 471-5919
- Practice Street Address
- 1580 Elmwood Ave
- Practice Address Line 2
- Suite 1A
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3620
- Practice Country
- US
- Practice Phone
- (585) 471-5919
- Enumeration Date
- February 18, 2016
- Last Updated
- February 18, 2016
- Authorized Official Last Name
- Meegan-Iacchetta
- Authorized Official First Name
- Rachel
- Authorized Official Title
- Manager
- Authorized Official Phone
- (585) 471-5919
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- D.C.
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Taxonomies
- Nutrition Chiropractor (111NN1001X)