# PRO FAMILY CHIROPRACTIC CENTER, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144484692
- **Authorized official:** DR. LISA M PROVENZA-TABAK D.C. (DOCTOR OF CHIROPRACTIC)
- **Authorized official phone:** (330) 702-0500

## Contact information

- **Practice address:** 3680 STARRS CENTRE DR, CANFIELD, OH 44406-9514
- **Practice address phone:** (330) 702-0500
- **Practice address fax:** (330) 702-0575
- **Mailing address:** 3680 STARRS CENTRE DR, CANFIELD, OH 44406-9514
- **Mailing address phone:** (330) 702-0500
- **Mailing address fax:** (330) 702-0575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2661 | OH | Yes |

## Other

- **Enumeration date:** 07/14/2008
- **Last updated:** 07/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2062888 | — | OH |