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Organization
LIFESTYLE CHIROPRACTIC PLLC
Active
Organization
LIFESTYLE CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD LEE PORTER D.C. (SOLE MBR)
(940) 387-0405
Entity
Organization
Contact information
Practice address
721 W HICKORY ST, DENTON, TX 76201-4044
(940) 387-0405
(940) 383-2966
Mailing address
2317 W UNIVERSITY DR STE B5, DENTON, TX 76201-1699
(940) 387-0405
(940) 383-2966
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6387
TX
Other
Enumeration date
07/11/2012
Last updated
12/18/2017
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