Organization · Type 2 NPI
Chiropro of Lake St. Louis, LLC
Chiropractor · Lake St. Louis, MO
NPI number
1922630714
Active
Practice location
6257 Ronald Reagan Dr
Lake St. Louis, MO 63367-2665
Fax (636) 625-2330
Mailing address
1231 Thouvenot Ln Ste 100
Shiloh, IL 62269-7203
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 1922630714
Chiropro of Lake St. Louis, LLC's National Provider Identifier is 1922630714, issued on Feb 10, 2020. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lake St. Louis, MO. The record was last updated on Feb 10, 2020.