| NPI | 1134327364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CANON LISTER Chiropractor/Owner 337-824-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA 844) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |