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NPI Code Detail

MEDICARE: LEHIGH CHIROPRACTIC ASSOCIATES CORP

MEDICARE: LEHIGH CHIROPRACTIC ASSOCIATES CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/CenterCH-4496FL

General Provider Information

NPI Number : 1427383934
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEHIGH CHIROPRACTIC ASSOCIATES CORP
Provider Business Mailing Address
First Line : 1303 HOMESTEAD RD N STE 102
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33936-6049
Country : US
Telephone Number : 239-303-1139
Fax Number : 239-303-1839
Provider Business Practice Location Address
First Line : 1303 HOMESTEAD RD N STE 102
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33936-6049
Country : US
Telephone Number : 239-303-1139
Fax Number : 239-303-1839
Authorized Official
Title or Position : PRESIDENT
Name : DR. LAZ DAVID RODRIGUEZ
Credential : DC
Telephone Number : 239-303-1139
Provider Enumeration Date : 10/16/2009
Last Update Date : 10/16/2009

Similar Medicare Providers

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1303 HOMESTEAD RD N STE 102
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1831146141 — RALPH S RYBACK MD LP
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1285647651 — SHIRLEY SLOAN LCSW
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25 HOMESTEAD RD , #55
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Practice Phone: 239-281-8903
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1508179490 — THE MEDICAL CENTRE OF LEHIGH ACRES INC
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1376857904 — ADOLFO ROMERO MARTINEZ ARNP
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1619282274 — WESTFIELD WELLNESS CENTER INC
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Practice Fax: 239-303-1839

Directions to “LEHIGH CHIROPRACTIC ASSOCIATES CORP ” Practice Location

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