Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568704195 Individual Practitioner Female Practitioner

Dr. Lisa Mccullough , DC

Chiropractor • Olympia, WA

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Mccullough, DC is a registered healthcare professional specializing in Chiropractor in Olympia, WA. Practice services are available at 1822 BLACK LAKE BLVD SW STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1822 Black Lake Blvd Sw Ste 103

Olympia, WA 985125628

Telephone 3609430988
Fax 6152648879
Associated Practice Facility / Clinic
🏢 Mc3 Enterprises Llc Facility NPI 1740804830

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.8 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
67 Specialists

Practicing in Olympia, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-20
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH61009274

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License TN 2350

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1154456424

Doctor of Chiropractic

Dana Permann

Massage Therapist

NPI 1427845742
Hunter Miller

Massage Therapist

NPI 1811850431
Josefina Kender

Massage Therapist

NPI 1982433447

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 20, 2024

Registered at 1822 BLACK LAKE BLVD SW STE 103, OLYMPIA, WA 985125628 (Tel: 3609430988)

📍
Updated Business Mailing Address May 20, 2024

Registered at 1822 BLACK LAKE BLVD SW STE 103, OLYMPIA, WA 985125628 (Tel: 3609430988)

📍
Updated Business Mailing Address June 24, 2020

Registered at 1633 SUMMIT LAKE SHORE RD NW, OLYMPIA, WA 985029437 (Tel: 6154488562)

NPI Profile Active March 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2013

Registered at 100 COMMERCE DR, SUITE B, HENDERSONVILLE, TN 370752859 (Tel: 6152648880)

📍
Updated Business Mailing Address March 21, 2013

Registered at 100 COMMERCE DR, SUITE B, HENDERSONVILLE, TN 370752859 (Tel: 6152648880)

👤
Provider Name / Credentials Updated March 21, 2013

Recorded as LISA MCCULLOUGH, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2013

Chiropractor (License #2350 in TN)

🟢
Initial NPI Registration & Enumeration March 21, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568704195
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2013
Last Update: May 20, 2024
Sole Proprietor: No

Mailing Address

1822 Black Lake Blvd Sw Ste 103

Olympia, WA 985125628

Phone: 3609430988

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.