Individual provider · Type 1 NPI

Lawrence Clifford Wallen Iii, DC

Chiropractor · Estero, FL

NPI number 1295050516 Active

Practice location

21740 S Tamiami Trl, #103
Estero, FL 33928-2819

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000X2301009662 (MI)
Chiropractor Primary 111N00000XCH10733 (FL)

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.

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About NPI 1295050516

Lawrence Clifford Wallen Iii, DC's National Provider Identifier is 1295050516, issued on Mar 30, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Estero, FL. The record was last updated on Oct 25, 2016.