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Organization
LAKE TRAVIS CHIROPRACTIC, PLLC
Active
Organization
LAKE TRAVIS CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISKA VISSER D.C. (OWNER/SOLE MEMBER)
(512) 548-6576
Entity
Organization
Contact information
Practice address
1603 RANCH ROAD 620 N, LAKEWAY, TX 78734-2693
(512) 548-6576
Mailing address
6 WINGREEN LOOP, THE HILLS, TX 78738-1522
(512) 548-6576
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F0010454
TX
Other
Enumeration date
07/29/2013
Last updated
10/10/2014
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