Organization
MIAMI VALLEY SPINE AND JOINT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER T LANNING DC (OWNER/DOCTOR)
(937) 310-1410
Entity
Organization
Contact information
Practice address
2011 S LAKEMAN DR STE D, BELLBROOK, OH 45305-2315
(937) 310-1410
(937) 310-1406
Mailing address
2011 S LAKEMAN DR STE D, BELLBROOK, OH 45305-2315
(937) 310-1410
(937) 310-1406
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13644841
CAQH
OH
05
—
H445331
—
OH
Enumeration date
09/16/2019
Last updated
09/16/2019
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