South Lyon Chiropractic Pllc

NPI #1073812293 in South Lyon, Michigan

Provider Information

NPI Number: 1073812293
Entity Type: Organization
Organization Name: South Lyon Chiropractic Pllc
Primary Specialty: Chiropractor
Enumeration Date: Mar 28, 2011
Last Updated: Apr 12, 2012

Practice Location

Address: 327 N LAFAYETTE ST
City: South Lyon
State: Michigan
ZIP Code: 48178-4002
Phone: (734) 306-2454

Authorized Official

Name: DR. JAMIE J PENN, D.C.
Title: PRESIDENT
Phone: (734) 306-2454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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