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Organization
L A GREEN PA
Active
Organization
L A GREEN PA
Active
Other names
Green Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A GREEN D.C. (OWNER/ PRESIDENT)
(954) 270-5610
Entity
Organization
Contact information
Practice address
1304 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-6623
(954) 977-0888
(954) 804-0933
Mailing address
11350 NW 1ST CT, CORAL SPRINGS, FL 33071-8174
(954) 270-5610
(954) 804-0933
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0006683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380828900
—
FL
Enumeration date
12/17/2008
Last updated
02/04/2015
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