| NPI | 1578653234 |
|---|---|
| Doing Business As | LIFELINE CHIROPRACTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | BRADLEY D KOEHN Doctor Owner 209-238-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC230341) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-10-05 |