| NPI | 1528490810 |
|---|---|
| Other Name | LAKE MEDICAL AND CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LANCE JEPPESEN VP 760-471-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |