Individual
DR. CHRISTOPHER KEITH LANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
28 WILLOW POND WAY, STE. 1, PENFIELD, NY 14526-2629
(585) 377-3220
(585) 377-4820
Mailing address
28 WILLOW POND WAY, STE. 1, PENFIELD, NY 14526-2629
(585) 377-3220
(585) 377-4820
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9742
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376595363
NPI
NY
01
—
161614010
TAX ID
NY
01
—
629531
ACN
NY
01
—
7611263
AETNA
NY
01
—
C09742-OB
WORKERS COMPENSATION
NY
01
—
FA0823
PREFERRED CARE
NY
01
—
PO10097421
BCBS
NY
Enumeration date
05/17/2006
Last updated
12/07/2007
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