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NPI Code Detail

MEDICARE: MRS. LISA ANN MEYERS D.C.

MEDICARE:  MRS. LISA ANN MEYERS  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
1111N00000XChiropractor08001756AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912905712
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA ANN MEYERS D.C.
Provider Business Mailing Address
First Line : 3027 MISHAWAKA AVENUE
Second Line :
City : SOUTH BEND
State : IN
Zip : 46615-2347
Country : US
Telephone Number : 574-259-9355
Fax Number : 574-288-2737
Provider Business Practice Location Address
First Line : 3027 MISHAWAKA AVENUE
Second Line :
City : SOUTH BEND
State : IN
Zip : 46615-2347
Country : US
Telephone Number : 574-259-9355
Fax Number : 574-288-2737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 10/06/2015

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Directions to “ MRS. LISA ANN MEYERS D.C.” Practice Location

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