Larry Jerome Liddle, DC

NPI #1770592800 in Edgewater, Florida

Provider Information

NPI Number: 1770592800
Entity Type: Individual
Name: Larry Jerome Liddle, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Aug 7, 2006
Last Updated: Jul 30, 2012

Practice Location

Address: 103 EAST CONNECTICUT
City: Edgewater
State: Florida
ZIP Code: 32132
Phone: (386) 423-7575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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