Organization
LAKESHORE CHIROPRACTIC WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ALAN SMITH DC (OWNER - CHIROPRACTOR)
(716) 208-6039
Entity
Organization
Contact information
Practice address
6778 ERIE RD, DERBY, NY 14047-9672
(716) 947-5106
(716) 947-9329
Mailing address
4711 CLARK ST, HAMBURG, NY 14075-3905
(716) 947-5106
(716) 947-9329
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
02/23/2024
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