1497827786 NPI number — LAWSON CHIROPRACTIC WELLNESS CENTER, INC.

Table of content: DR. ANNA LUISA MENDOZA M.D. (NPI 1699742510)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497827786 NPI number — LAWSON CHIROPRACTIC WELLNESS CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAWSON CHIROPRACTIC WELLNESS CENTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497827786
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8595 PELHAM RD
Provider Second Line Business Mailing Address:
SUITE 600
Provider Business Mailing Address City Name:
GREENVILLE
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29615-5759
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
864-286-8388
Provider Business Mailing Address Fax Number:
864-286-8398

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8595 PELHAM RD
Provider Second Line Business Practice Location Address:
SUITE 600
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29615-5759
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-286-8388
Provider Business Practice Location Address Fax Number:
864-286-8398
Provider Enumeration Date:
11/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LAWSON
Authorized Official First Name:
SCOTT
Authorized Official Middle Name:
DOUGLAS
Authorized Official Title or Position:
CHIROPRACTOR
Authorized Official Telephone Number:
864-286-8388

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  2826 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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