| NPI | 1811090210 |
|---|---|
| Doing Business As | LOVERS LANE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN TISKO Administrator 214-351-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX F006293) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |