| NPI | 1427376177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY C LEWIS Owner/President 410-876-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD s01471) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD s03604) |
| 111N00000X Chiropractor (Licence: MD 01528) | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |