| NPI | 1114197233 |
|---|---|
| Doing Business As | LAKEWOOD BACK & NECK CENTER |
| Entity Type | Organization |
| Authorized Contact | WENDY MEHAFFEY Managing Member 303-238-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 5634) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |