| NPI | 1740351055 |
|---|---|
| Other Name | SWAN LAKE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | VIRGINIA LAWRENCE SHRIVER Chiropractor 303-449-3103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2013-08-29 |