Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lawrence Clifford Wallen III, DC

Individual provider Chiropractor · NPI 1295050516

Dr. Lawrence Clifford Wallen III, DC is a Chiropractic in Estero, Florida. Graduated from Palmer College Chiropractic - West Sunnyvale in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
16
Trained at
Palmer College Chiropractic - West Sunnyvale
Licensed in
FL, MI
In the registry since
2010
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

21740 S Tamiami Trl #103
Estero, FL 33928-2819
Phone: (239) 676-9116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH10733 (FL)
Chiropractor Taxonomy 111N00000X · Licence 2301009662 (MI)

Record details

NPI number1295050516
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedMarch 30, 2010
Last updated in NPPESOctober 25, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Estero