| NPI | 1336182609 |
|---|---|
| Doing Business As | LOVERS LANE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN TISKO Owner/Administrator 214-351-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX F006293) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |