| NPI | 1134396385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC JASON LUNENFELD Doctor/Owner 757-855-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104555802) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104555837) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2018-05-23 |