Port Charlotte Chiropractic LLC
NPI #1356090245 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1356090245
- Entity Type
- Organization
- Organization Name
- Port Charlotte Chiropractic LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Mar 20, 2022
- Last Updated
- Apr 14, 2022
Practice Location
- Address
- 795 CRESTVIEW CIR NW
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33948-2126
- Phone
- (941) 629-8444
Authorized Official
- Name
- DR. LAWRENCE C WALLEN III, DC
- Title
- CHIROPRACTOR
- Phone
- (815) 252-9783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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