Lakeside Chiropractic

NPI #1093040289 in Mount Nebo, West Virginia

Provider Information

NPI Number: 1093040289
Entity Type: Organization
Organization Name: Lakeside Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Oct 6, 2009
Last Updated: Oct 6, 2009

Practice Location

Address: 245 CAMPSITE ROAD
City: Mount Nebo
State: West Virginia
ZIP Code: 26679
Phone: (304) 619-1912

Authorized Official

Name: NUNZIO P PAGANO SR., DC
Title: SOLE MEMBER
Phone: (304) 619-1912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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