| NPI | 1033249693 |
|---|---|
| Doing Business As | LAKEWAY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | AMY L STEPHEN Secretary 903-887-3612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2011-06-16 |