| NPI | 1255409645 |
|---|---|
| Former Legal Business Name | AUSTIN LAKE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MILTON DOUGLAS LYNES CEO 269-324-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301007246) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2010-10-28 |