Lake Chiropractic Clinic INC

NPI #1538158712 in Willowick, Ohio

Provider Information

NPI Number: 1538158712
Entity Type: Organization
Organization Name: Lake Chiropractic Clinic INC
Primary Specialty: Chiropractor
Enumeration Date: Oct 19, 2005
Last Updated: Aug 17, 2018

Practice Location

Address: 32313 VINE ST
City: Willowick
State: Ohio
ZIP Code: 44095-3341
Phone: (440) 943-4357

Authorized Official

Name: MR. TERRY DAVIS
Title: TREASURER/SECRETARY
Phone: (440) 943-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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