Fordlam LLC

NPI #1417795196 in Clinton, Missouri

Provider Information

NPI Number: 1417795196
Entity Type: Organization
Organization Name: Fordlam LLC
Primary Specialty: Chiropractor
Enumeration Date: Jul 17, 2024
Last Updated: Jul 17, 2024

Practice Location

Address: 207 S MAIN ST
City: Clinton
State: Missouri
ZIP Code: 64735-2154
Phone: (660) 885-3800

Authorized Official

Name: LACY FORD, DC
Title: OWNER
Phone: (660) 351-6687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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