Provider Demographics
NPI:1144694746
Name:LAHMAN, ADAM COLBY (DC)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:COLBY
Last Name:LAHMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:MR
Other - First Name:ADAM
Other - Middle Name:COLBY
Other - Last Name:LAHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:13811 DELAWARE ST
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-9731
Mailing Address - Country:US
Mailing Address - Phone:563-508-2899
Mailing Address - Fax:
Practice Address - Street 1:1419 9TH ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WI
Practice Address - Zip Code:53566-1423
Practice Address - Country:US
Practice Address - Phone:608-325-2626
Practice Address - Fax:608-325-2504
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-19
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012834111N00000X
IN08002870A111N00000X
WI5169-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor