Lakeside Spine and Wellness LLC

NPI #1154593937 in Renton, Washington

Provider Information

NPI Number: 1154593937
Entity Type: Organization
Organization Name: Lakeside Spine and Wellness LLC
Primary Specialty: Chiropractor
Enumeration Date: Apr 1, 2008
Last Updated: Sep 11, 2023

Practice Location

Address: 1800 NE 44TH ST STE 223
City: Renton
State: Washington
ZIP Code: 98056-9035
Phone: (206) 852-7960

Authorized Official

Name: ANDREW WINGER, D.C.
Title: OWNER
Phone: (206) 852-7960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Chiropractor	111N00000X	Primary

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