Individual provider · Type 1 NPI
Grover Lynn Mallard, DC
Chiropractor · Lewiston, ID
NPI number
1356333702
Active
Practice location
3320 10th St
Lewiston, ID 83501
Fax (208) 746-5268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA832 (ID) |
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 1356333702
Grover Lynn Mallard, DC's National Provider Identifier is 1356333702, issued on Aug 19, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lewiston, ID. The record was last updated on Jul 13, 2026.