Organization
ACTIVE LIFE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLE ANN LEHMAN D.C. (OWNER)
(717) 751-0500
Entity
Organization
Contact information
Practice address
1915 E MARKET ST, YORK, PA 17402-2839
(717) 751-0500
(717) 814-5407
Mailing address
1915 E MARKET ST, YORK, PA 17402-2839
(717) 751-0500
(717) 814-5407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007961L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209146
MEDICARE PTAN
PA
Enumeration date
01/10/2011
Last updated
12/07/2011
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