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NPI Code Detail

MEDICARE: DR. LARISSA MICHELLE JUREN D.C.

MEDICARE:  DR. LARISSA MICHELLE JUREN  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
1111N00000XChiropractor2301009999MI

General Provider Information

NPI Number : 1194056861
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARISSA MICHELLE JUREN D.C.
Provider Business Mailing Address
First Line : 190 HORSE LAKE RD
Second Line : PO BOX 1720
City : 100 MILE HOUSE
State : BC
Zip : V0K 2E0
Country : CA
Telephone Number : 250-395-3000
Fax Number : 250-395-3055
Provider Business Practice Location Address
First Line : 190 HORSE LAKE RD
Second Line :
City : 100 MILE HOUSE
State : BC
Zip : V0K 2E0
Country : CA
Telephone Number : 250-395-3000
Fax Number : 250-395-3055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2010
Last Update Date : 03/10/2017

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Directions to “ DR. LARISSA MICHELLE JUREN D.C.” Practice Location

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