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NPI Code Detail

MEDICARE: LH CHIROPRACTIC LLC

MEDICARE: LH CHIROPRACTIC LLC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1447890470
Entity Type Code : Organization
Provider Name (Legal Business Name) : LH CHIROPRACTIC LLC
Provider Business Mailing Address
First Line : 17197 NEW COLLEGE AVE
Second Line :
City : WILDWOOD
State : MO
Zip : 63040-1100
Country : US
Telephone Number : 314-440-3712
Fax Number :
Provider Business Practice Location Address
First Line : 17197 NEW COLLEGE AVE
Second Line :
City : WILDWOOD
State : MO
Zip : 63040-1100
Country : US
Telephone Number : 314-440-3712
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LAUREN MEDINA
Credential : DC
Telephone Number : 314-440-3712
Provider Enumeration Date : 01/07/2020
Last Update Date : 01/07/2020

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Directions to “LH CHIROPRACTIC LLC ” Practice Location

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