Lakeside Chiropractic, Pllc

NPI #1578945390 in Skiatook, Oklahoma

Provider Information

NPI Number: 1578945390
Entity Type: Organization
Organization Name: Lakeside Chiropractic, Pllc
Primary Specialty: Chiropractor
Enumeration Date: Jun 29, 2015
Last Updated: Jun 29, 2015

Practice Location

Address: 1529 W ROGERS BLVD STE C
City: Skiatook
State: Oklahoma
ZIP Code: 74070-1086
Phone: (918) 396-4433

Authorized Official

Name: DR. ELIZABETH ANN GOODMAN, D.C.
Title: OWNER/DOCTOR
Phone: (918) 396-4433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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