| NPI | 1780125500 |
|---|---|
| Doing Business As | LAKELINE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | BRIAN RUSSELL GORE Owner 512-264-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13355) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-09-08 |