Provider Demographics
NPI:1053128876
Name:TYLER LYMBURNER DC LLC
Entity type:Organization
Organization Name:TYLER LYMBURNER DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TYLER J
Authorized Official - Middle Name:J
Authorized Official - Last Name:LYMBURNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:574-261-6509
Mailing Address - Street 1:180 W CARMEL DR # F7
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2526
Mailing Address - Country:US
Mailing Address - Phone:317-575-9550
Mailing Address - Fax:
Practice Address - Street 1:180 W CARMEL DR # F7
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2526
Practice Address - Country:US
Practice Address - Phone:317-575-9550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty