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NPI Code Detail

MEDICARE: ALEXANDRA LLEWELLYN DC

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
1111N00000XChiropractorDC-05167OH

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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