Laurence D. Jordan D.c.

NPI 1225176969 - Chiropractor - 111N00000X

NPI Details
NPI 1225176969
Enumeration Date 02/02/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LAURENCE D. LAURENCE
Position DOCTOR
Phone (310) 829-2660
Fax
Practice Location
1247 7TH ST
SUITE 301
SANTA MONICA CA, 90401-1642, US
Phone (310) 829-2660
Fax
Business Location
3500 W ADAMS BLVD
LOS ANGELES CA, 90018-1822, US
Phone (310) 829-2660
Fax
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number 14649
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According to our database, Laurence D. Jordan D.c. NPI is 1225176969, taxonomy code is 111N00000X and license number is 14649, license state is located at California. Laurence D. Jordan D.c. physically located at 1247 7th St, Santa Monica CA, 90401-1642. NPI Number 1033115704 has the healthcare provider type.

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1225176969 NPI number is provided on an as is basis without warranty of any kind. 1225176969 is maintained by the National Plan & Provider Enumeration System. The contents of Laurence D. Jordan D.c. are for informational purposes only.