Lealand K Fagan

NPI #1861440091 in Landrum, South Carolina

Provider Information

NPI Number: 1861440091
Entity Type: Individual
Name: Lealand K Fagan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Enumeration Date: May 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 900 E RUTHERFORD ST
City: Landrum
State: South Carolina
ZIP Code: 29356-1725
Phone: (864) 316-4611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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Organizations

Provider Name	Specialty	City
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