DR. Lanny Craig Crockett, DC

NPI #1780644195 in Snowflake, Arizona

Provider Information

NPI Number: 1780644195
Entity Type: Individual
Name: DR. Lanny Craig Crockett, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Mar 28, 2006
Last Updated: Feb 23, 2017

Practice Location

Address: 1300 S MAIN ST
Address 2: STE A
City: Snowflake
State: Arizona
ZIP Code: 85937-5662
Phone: (928) 536-5525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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