| NPI | 1548594435 |
|---|---|
| Former Name | HALEY DURRETTE LAUCKEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556746) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI L1605238) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2012-10-16 |