Individual provider · Type 1 NPI

Lisa M. Provenza-Tabak, DC

Chiropractor · Canfield, OH

NPI number 1871583948 Active

Practice location

3680 Starrs Centre Dr
Canfield, OH 44406-9514

Fax (330) 705-0575

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2661 (OH)

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 1871583948

Lisa M. Provenza-Tabak, DC's National Provider Identifier is 1871583948, issued on Oct 28, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Canfield, OH. The record was last updated on Jun 11, 2008.