NPI | 1295910560 |
---|---|
Former Name | LISA ANNE LOSEKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3727) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 713727) |
Enumeration Date | 2008-01-07 |
Last Update Date | 2018-08-24 |