Individual provider · Type 1 NPI

Laura Marie Johnson Stevenson, BS DC CCEP

Chiropractor · Jerome, ID

NPI number 1649357351 Active

Practice location

600 N Lincoln Ave
Jerome, ID 83338-1850

Fax (208) 324-5512

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIRO584 (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.

Another provider at this address

About NPI 1649357351

Laura Marie Johnson Stevenson, BS DC CCEP's National Provider Identifier is 1649357351, issued on Nov 1, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jerome, ID. The record was last updated on Jan 28, 2008.