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Organization
LOVERS LANE WELLNESS CENTER LLC
Active
Organization
LOVERS LANE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN TISKO (MANAGING PARTNER)
(214) 766-0589
Entity
Organization
Contact information
Practice address
12800 PRESTON RD., STE. 201, DALLAS, TX 75230
(214) 351-2299
(214) 351-1122
Mailing address
3844 MARTHA LN, DALLAS, TX 75229-6126
(214) 351-3904
(214) 351-2072
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10106
TX
Other
Enumeration date
12/29/2009
Last updated
06/26/2014
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