Organization · Type 2 NPI
Lakeside Chiropractic LLC
Chiropractor · Kenosha, WI
NPI number
1669005013
Active
Practice location
5024 Green Bay Rd Ste 100
Kenosha, WI 53144-1702
Fax (262) 657-8435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
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
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About NPI 1669005013
Lakeside Chiropractic LLC's National Provider Identifier is 1669005013, issued on Feb 13, 2020. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Kenosha, WI. The record was last updated on Feb 13, 2020.