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Organization
ERIK G LEMOULLEC DC LLC
Active
Organization
ERIK G LEMOULLEC DC LLC
Active
Other names
Back to Health Chiropractic and Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIK GILLES LEMOULLEC D.C., FCAMI (CHIROPRACTOR/OWNER)
(203) 263-0411
Entity
Organization
Contact information
Practice address
3 POMPERAUG OFFICE PARK STE 103, SOUTHBURY, CT 06488-2287
(203) 263-0411
(203) 841-1012
Mailing address
20 SHERMAN HILL RD, WOODBURY, CT 06798-3647
(203) 263-0411
(203) 841-1012
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1765
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008043787
—
CT
01
—
D400000897
MEDICARE PROVIDER ID
CT
01
—
D400595471
MEDICARE PROVIDER ID
CT
Enumeration date
11/30/2011
Last updated
01/21/2020
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