Lake Health Care Center Inc
NPI 1104829316ActiveOrganization· Chiropractor· Eustis, FL
Chiropractor in Eustis, Florida, registered in NPPES in May 2005. The authorized official on file is Lorri J. Hartley, Office Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104829316 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2005 |
| Last updated in NPPES | Jun 22, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | NOTREQUIRED | FL |
| Family Medicine | 207Q00000X | NOTREQUIRED | FL |
| Podiatrist | 213E00000X | NOTREQUIRED | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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