Individual provider · Type 1 NPI
Lanny Aven Decker, DC
Chiropractor · Phoenix, AZ
NPI number
1992990964
Active
Practice location
2642 E Thomas Rd
Phoenix, AZ 85016-8243
Fax (602) 957-8911
Mailing address
4225 N 21st St Unit 19
Phoenix, AZ 85016-6161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 7522 (AZ) |
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 1992990964
Lanny Aven Decker, DC's National Provider Identifier is 1992990964, issued on Sep 12, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 29, 2007.