Lafayette Square Chiropractic Centre, Llc

NPI 1083719447 - Chiropractor - 111N00000X

NPI Details
NPI 1083719447
Enumeration Date 09/13/2006
Last Updated 08/07/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CRYSTAL L CRYSTAL
Position OWNER
Phone (314) 762-0669
Fax (443) 703-7745
Practice Location
1107 MISSISSIPPI AVE
SUITE 103
SAINT LOUIS MO, 63104-2458, US
Phone (314) 762-0669
Fax (443) 703-7745
Business Location
2311 RUTGER ST
UNIT E
SAINT LOUIS MO, 63104-2441, US
Phone (314) 762-0693
Fax (443) 703-7745
Toxanomy
Taxonomy Code 111N00000X
License State Missouri
License Number 20004024604
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According to our database, Lafayette Square Chiropractic Centre, Llc NPI is 1083719447, taxonomy code is 111N00000X and license number is 20004024604, license state is located at Missouri. Lafayette Square Chiropractic Centre, Llc physically located at 1107 Mississippi Ave, Saint Louis MO, 63104-2458. NPI Number 1033115704 has the healthcare provider type.

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1083719447 NPI number is provided on an as is basis without warranty of any kind. 1083719447 is maintained by the National Plan & Provider Enumeration System. The contents of Lafayette Square Chiropractic Centre, Llc are for informational purposes only.