DR. Lawrence Clifford Wallen III, D.C.

NPI #1295050516 in Estero, Florida

Provider Information

NPI Number: 1295050516
Entity Type: Individual
Name: DR. Lawrence Clifford Wallen III, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Mar 30, 2010
Last Updated: Oct 25, 2016

Practice Location

Address: 21740 S TAMIAMI TRL
Address 2: #103
City: Estero
State: Florida
ZIP Code: 33928-2819
Phone: (239) 676-9116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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