Organization · Type 2 NPI
Lakeside Chiropractic PC
Clinic/Center · Show Low, AZ
NPI number
1417133265
Active
Practice location
1640 E Oliver Pl
Show Low, AZ 85901-6117
Fax (928) 532-2276
Mailing address
PO Box 3330
Pinetop, AZ 85935-3330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 5129 (AZ) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1417133265
Lakeside Chiropractic PC's National Provider Identifier is 1417133265, issued on Jan 10, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Show Low, AZ. The record was last updated on Mar 7, 2008.