Provider Demographics
NPI:1538345715
Name:LIFESTYLE FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:LIFESTYLE FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:HANLON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-628-2504
Mailing Address - Street 1:3909 WASHINGTON RD
Mailing Address - Street 2:SUIT 318 DONALDSON'S CROSSROADS PLAZA
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2544
Mailing Address - Country:US
Mailing Address - Phone:724-969-0800
Mailing Address - Fax:
Practice Address - Street 1:3909 WASHINGTON RD
Practice Address - Street 2:SUIT 318 DONALDSON'S CROSSROADS PLAZA
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2544
Practice Address - Country:US
Practice Address - Phone:724-969-0800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty