Lakeside Chiropractic Clinic,p.c.

NPI #1962659417 in Sanford, Michigan

Provider Information

NPI Number: 1962659417
Entity Type: Organization
Organization Name: Lakeside Chiropractic Clinic,p.c.
Primary Specialty: Chiropractor
Enumeration Date: Aug 26, 2008
Last Updated: Aug 26, 2008

Practice Location

Address: 152 E SAGINAW RD
Address 2: SUITE 7
City: Sanford
State: Michigan
ZIP Code: 48657-9271
Phone: (989) 687-9299

Authorized Official

Name: DR. CEANN UNDINE BRANSON, D.C.
Title: OWNER
Phone: (989) 687-9299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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