NPI | 1609127745 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY THOMAS LAWLOR Chiropractor/Owner 636-300-8250 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2012024961) |
Enumeration Date | 2012-09-28 |
Last Update Date | 2012-09-28 |