Lake Chiropractic Center, Pllc
NPI #1174722433 in Grand Ledge, Michigan
Provider Information
- NPI Number
- 1174722433
- Entity Type
- Organization
- Organization Name
- Lake Chiropractic Center, Pllc
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jul 16, 2007
- Last Updated
- Jul 16, 2007
Practice Location
- Address
- 914 CHARLEVOIX DR
- Address 2
- SUITE 120
- City
- Grand Ledge
- State
- Michigan
- ZIP Code
- 48837-2280
- Phone
- (517) 622-8552
Authorized Official
- Name
- DR. CHAD MICHAEL LAKE, D.C.
- Title
- OWNER/PRESIDENT
- Phone
- (517) 622-8552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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