Lisa M Provenza-Tabak, D.C.

NPI #1871583948 in Canfield, Ohio

Provider Information

NPI Number: 1871583948
Entity Type: Individual
Name: Lisa M Provenza-Tabak, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Oct 28, 2005
Last Updated: Jun 11, 2008

Practice Location

Address: 3680 STARRS CENTRE DR
City: Canfield
State: Ohio
ZIP Code: 44406-9514
Phone: (330) 702-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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