Lightsource Chiropractic LLC

NPI #1518301878 in Clinton, New Jersey

Provider Information

NPI Number: 1518301878
Entity Type: Organization
Organization Name: Lightsource Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Apr 17, 2013
Last Updated: Apr 17, 2013

Practice Location

Address: 16 LEIGH ST
City: Clinton
State: New Jersey
ZIP Code: 08809-1412
Phone: (908) 238-1081

Authorized Official

Name: DR. JODI NICHOLE DINNERMAN, DC
Title: OWNER
Phone: (908) 399-3499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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