DR. Wayne Robert Carlsson, D.C.

NPI #1720054141 in Lakewood, New York

Provider Information

NPI Number: 1720054141
Entity Type: Individual
Name: DR. Wayne Robert Carlsson, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Feb 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 60 W FAIRMOUNT AVE
City: Lakewood
State: New York
ZIP Code: 14750-1723
Phone: (716) 763-0949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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