HEALTHSOURCE OF LAKE BOONE TRAIL, PLLC

RALEIGH, NC
NPI1255616611
Entity TypeOrganization
Authorized ContactLISA C EVANS
Billing Manager
919-585-7365
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: NC  3364)
Enumeration Date2011-10-18
Last Update Date2011-11-10
Business Address
HEALTHSOURCE OF LAKE BOONE TRAIL, PLLC
4025 LAKE BOONE TRL SUITE 120
RALEIGH, NC 27607-2986
Phone number: 919-785-9191
Mailing Address
HEALTHSOURCE OF LAKE BOONE TRAIL, PLLC
4025 LAKE BOONE TRAIL SUITE 120
RALEIGH, NC 27607-2986
Phone number: 910-431-4330
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