Louis Lemoine Tisch JR., DC

NPI #1689743114 in Fulton, Missouri

Provider Information

NPI Number: 1689743114
Entity Type: Individual
Name: Louis Lemoine Tisch JR., DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Nov 7, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 307 MEADOWLARK LN
City: Fulton
State: Missouri
ZIP Code: 65251-2457
Phone: (573) 642-4387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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