# LISA CAMPIONE, D.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Active and Well Family Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114044856
- **Authorized official:** LISA CAMPIONE D.C. (OWNER)
- **Authorized official phone:** (518) 725-9355

## Contact information

- **Practice address:** 131 E STATE ST, GLOVERSVILLE, NY 12078-1205
- **Practice address phone:** (518) 725-9355
- **Practice address fax:** (518) 725-9356
- **Mailing address:** 131 E STATE ST, GLOVERSVILLE, NY 12078-1205
- **Mailing address phone:** (518) 725-9355
- **Mailing address fax:** (518) 725-9356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X010388 | NY | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020