Individual provider · Type 1 NPI
Larry E. Poland, D.C
Chiropractor · Big Bear Lake, CA
NPI number
1962622167
Active
Practice location
41656 Big Bear Blvd
Big Bear Lake, CA 92315
Fax (909) 866-8731
Mailing address
PO Box 1828
Big Bear Lake, CA 92315-1828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC0122520 (CA) |
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.
About NPI 1962622167
Larry E. Poland, D.C's National Provider Identifier is 1962622167, issued on Apr 27, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Big Bear Lake, CA. The record was last updated on May 22, 2012.