| Lakeside Chiropractic, Pllc | |
|
1529 W Rogers Blvd Ste C, Skiatook, OK 74070-1086 | |
| (918) 396-4433 | |
| (918) 396-0075 |
| Full Name | Lakeside Chiropractic, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1529 W Rogers Blvd Ste C, Skiatook, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578945390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4086 (Oklahoma) | Primary |
| Provider Name | Elizabeth A Goodman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679800478 PECOS PAC ID: 2466686274 Enrollment ID: I20131010001090 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Chiropractic, Pllc 1529 W Rogers Blvd Ste C, Skiatook, OK 74070-1086 Ph: (918) 396-4433 | Lakeside Chiropractic, Pllc 1529 W Rogers Blvd Ste C, Skiatook, OK 74070-1086 Ph: (918) 396-4433 |
Dr. Christina Marie Graddy, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1529 W Rogers Blvd, Skiatook, OK 74070 Phone: 918-396-4433 Fax: 918-396-0075 | |
Dr. Robert Lee Johnson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 203 S Hominy Ave, Skiatook, OK 74070 Phone: 918-396-9000 Fax: 918-396-0119 | |
Decluemedical, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 208 Bulldog Blvd, Skiatook, OK 74070 Phone: 918-396-3777 Fax: 918-396-3066 | |
Landreth Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 108 N. Broadway, Skiatook, OK 74070 Phone: 918-396-2848 Fax: 318-553-8802 | |
Dr. Elizabeth Ann Goodman, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1529 W Rogers Blvd Ste C, Ste C, Skiatook, OK 74070 Phone: 918-396-4433 Fax: 918-396-0075 | |
Dr. Thomas E Declue, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 208 Bulldog Blvd, Skiatook, OK 74070 Phone: 918-396-3777 Fax: 918-396-3066 |