Individual provider · Type 1 NPI
Lisa Ann Wynkoop, DC
Chiropractor · Virginia Beach, VA
NPI number
1790079705
Active
Practice location
1092 Laskin Rd Ste 102
Virginia Beach, VA 23451-6362
Fax (757) 518-0965
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 0104001748 (VA) |
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 1790079705
Lisa Ann Wynkoop, DC's National Provider Identifier is 1790079705, issued on Jun 7, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Virginia Beach, VA. The record was last updated on Jun 7, 2011.