| NPI | 1649862749 |
|---|---|
| Doing Business As | LAKESIDE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JASON THOMAS SWINTON Owner 585-440-4901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2022-04-04 |