| NPI | 1548445414 |
|---|---|
| Doing Business As | LADY LAKE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | GARRY L. DULGAR President/Owner 352-753-1845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-02-28 |