| NPI | 1881963262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CONRAD LANE Chiropractor 801-322-3067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 159542-1202) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |