| NPI | 1891933784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT E LUSE President 712-274-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |