NPI | 1811360803 |
---|---|
Other Name | LT ENTERPRISE |
Entity Type | Organization |
Authorized Contact | LOWELL THOMAS FAISON CEO/Sports Medicine Consultant 855-590-9527 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: NC 4283) |
Enumeration Date | 2015-11-12 |
Last Update Date | 2015-11-12 |