Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | CH-7904 | FL |
NPI | 1003968033 |
---|---|
Provider Name | Dr. Thomas Frederick Lahmann |
First Address | Jacksonville, FL 32259-2989 |
Second Address | Jacksonville, FL 32259-2989 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 08/07/2007 |