| NPI | 1427361120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZARA LACKMAN Chiropractor, Owner 715-571-2702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: WI 3393-012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3393-012) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-07-22 |