Individual provider · Type 1 NPI
Laura Leanne Detert, DC
Chiropractor · Marion, WI
NPI number
1154489425
Active
Practice location
1101 N Main St
Marion, WI 54950-9182
Fax (715) 754-2556
Mailing address
PO Box 485
Marion, WI 54950-0485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2895-012 (WI) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
About NPI 1154489425
Laura Leanne Detert, DC's National Provider Identifier is 1154489425, issued on Dec 5, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Marion, WI. The record was last updated on Jul 9, 2007.