| NPI | 1639948391 |
|---|---|
| Doing Business As | LIFESTYLE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | WESTON A DEHAVEN Owner 269-463-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2024-01-09 |