# LAWYER CHIROPRACTIC CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912955170
- **Authorized official:** DR. DAYNA LYNN BOLERA DC (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (740) 353-2211

## Contact information

- **Practice address:** 1616 GRANT ST, PORTSMOUTH, OH 45662-3663
- **Practice address phone:** (740) 353-2211
- **Practice address fax:** (740) 353-4373
- **Mailing address:** PO BOX 279, WHEELERSBURG, OH 45694-0279
- **Mailing address phone:** (740) 353-2211
- **Mailing address fax:** (740) 353-4373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 04/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000228032 | ANTHEM | OH |
| 05 | — | 0901242 | — | OH |
| 01 | — | 5930627 | AETNA | OH |
| 01 | — | CE0510 | RAIL ROAD MEDICARE | OH |