DR. Jacob Dewayne Lewallen, DC

NPI #1710500061 in Branson, Missouri

Provider Information

NPI Number
1710500061
Entity Type
Individual
Name
DR. Jacob Dewayne Lewallen, DC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
DC
Enumeration Date
May 21, 2020
Last Updated
May 21, 2020

Practice Location

Address
714 STATE HIGHWAY 248 STE 503
ZIP Code
65616-3761
Phone
(417) 872-7728

Specialties & Taxonomy Codes

Specialty
Chiropractor

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