| NPI | 1174863039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M LUST Owner/Doctor 772-288-2527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: FL CH0006009) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |