| NPI | 1982253811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW LAWRENCE Chiropractor 918-504-4182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |