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NPI Code Detail

MEDICARE: MRS. LAURISSA CS SIMMS D.C.

MEDICARE: MRS. LAURISSA CS SIMMS D.C.
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
1111N00000XChiropractor3130MA

General Provider Information

NPI Number : 1174606883
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURISSA CS SIMMS D.C.
Provider Business Mailing Address
First Line : 82 WEATHERVANE DR
Second Line :
City : LEOMINSTER
State : MA
Zip : 01453-5956
Country : US
Telephone Number : 978-660-5334
Fax Number :
Provider Business Practice Location Address
First Line : 54 WILLIAMS ST
Second Line :
City : LEOMINSTER
State : MA
Zip : 01453-3276
Country : US
Telephone Number : 978-537-0555
Fax Number : 978-537-2193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 08/13/2014

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