De La Vara Chiropractic & Sports Medicine Clinic, Inc.

NPI #1891827648 in Lakewood, Colorado

Provider Information

NPI Number: 1891827648
Entity Type: Organization
Organization Name: De La Vara Chiropractic & Sports Medicine Clinic, Inc.
Primary Specialty: Chiropractor
Enumeration Date: Mar 9, 2007
Last Updated: Feb 19, 2009

Practice Location

Address: 1880 S PIERCE ST
Address 2: SUITE 14
City: Lakewood
State: Colorado
ZIP Code: 80232-7191
Phone: (303) 763-8433

Authorized Official

Name: MRS. GLORIA LYNN DE LA VARA, DC
Title: DOCTOR OF CHIROPRACTIC AND CERTIFIE
Phone: (303) 763-8433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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