| NPI | 1487642500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENE MARIE LISHNESS Office Manager 419-657-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2023-10-11 |