| NPI | 1508125303 |
|---|---|
| Doing Business As | LAKE ST. LOUIS CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | KRISTIN E. GAINES-PORLIER Owner/Doctor 618-213-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |