MEDICARE: LARA MILANI 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
1	111N00000X	Chiropractor	DC0000001309	TN

General Provider Information

NPI Number	:	1790884773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARA MILANI D.C.

Provider Business Mailing Address
First Line	:	PO BOX 759
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-0759
Country	:	US
Telephone Number	:	615-302-1333
Fax Number	:	615-302-3030

Provider Business Practice Location Address
First Line	:	4910 COLUMBIA PIKE STE 102
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-4200
Country	:	US
Telephone Number	:	615-302-1333
Fax Number	:	615-302-3030

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

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	07/08/2007

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Directions to “ LARA MILANI D.C.” Practice Location

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