MEDICARE: ALEXANDRA LLEWELLYN DC

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
1	111N00000X	Chiropractor	DC-05167	OH

General Provider Information

NPI Number	:	1306583737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA LLEWELLYN DC

Provider Business Mailing Address
First Line	:	3361 EXECUTIVE PKWY STE 303
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-1337
Country	:	US
Telephone Number	:	419-537-5454
Fax Number	:

Provider Business Practice Location Address
First Line	:	3361 EXECUTIVE PKWY STE 303
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-1337
Country	:	US
Telephone Number	:	419-537-5454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2022
Last Update Date	:	01/05/2023

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Directions to “ ALEXANDRA LLEWELLYN DC” Practice Location

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