| NPI | 1124504568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M. LIZANA Manager/Registered Agent 985-373-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1808) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |