| NPI | 1528325669 |
|---|---|
| Doing Business As | LIFESTYLE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | ANDREW A DEHAVEN Chiropractor 269-463-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: 2301007097) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |