Lakes Chiropractic & Wellness Sc

NPI #1609021856 in Eagle River, Wisconsin

Provider Information

NPI Number: 1609021856
Entity Type: Organization
Organization Name: Lakes Chiropractic & Wellness Sc
Primary Specialty: Chiropractor
Enumeration Date: Dec 1, 2008
Last Updated: Dec 1, 2008

Practice Location

Address: 761 US HIGHWAY 45 S
City: Eagle River
State: Wisconsin
ZIP Code: 54521-9110
Phone: (715) 479-8700

Authorized Official

Name: DR. EARL J. ROTH, D.C.
Title: SHAREHOLDER
Phone: (715) 365-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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