| NPI | 1639499346 |
|---|---|
| Doing Business As | LAKEWOOD BACK & NECK CENTER |
| Entity Type | Organization |
| Authorized Contact | MAURA MURPHY HEAVEY Chiropractor 802-236-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6506) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6507) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-18 |