Lordex Spine Center of Columbia P.c.

NPI #1992884217 in Columbia, Missouri

Provider Information

NPI Number: 1992884217
Entity Type: Organization
Organization Name: Lordex Spine Center of Columbia P.c.
Primary Specialty: Neuromusculoskeletal Medicine, Sports Medicine
Enumeration Date: Nov 6, 2006
Last Updated: Aug 17, 2009

Practice Location

Address: 3400 BUTTONWOOD DR
Address 2: STE C
City: Columbia
State: Missouri
ZIP Code: 65201-3720
Phone: (573) 443-0551

Authorized Official

Name: DR. BROOKS M TRAVIS, D.C.
Title: OWNER
Phone: (573) 443-0551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neuromusculoskeletal Medicine, Sports Medicine	204C00000X	Primary

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