| NPI | 1497802110 |
|---|---|
| Former Legal Business Name | HEALTHSOURCE OF LAKEWOOD |
| Entity Type | Organization |
| Authorized Contact | STEPHEN N TASHIRO Doctor Of Chiropractic 303-985-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR0004675) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2017-08-16 |