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Organization
LAWRENCE COUNTY CHIROPRACTIC CLINIC, INC.
Active
Organization
LAWRENCE COUNTY CHIROPRACTIC CLINIC, INC.
Active
Other names
Lawrence County Chiropractic Clinic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L SHACKELFORD II D.C. (OWNER)
(870) 886-2603
Entity
Organization
Contact information
Practice address
219 SOUTHWEST 2ND STREET, WALNUT RIDGE, AR 72476-2335
(870) 886-2603
(870) 886-2623
Mailing address
PO BOX 896, WALNUT RIDGE, AR 72476-0896
(870) 886-2603
(870) 886-2623
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
998
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105133718
—
AR
05
—
111623718
—
AR
Enumeration date
12/01/2006
Last updated
09/27/2013
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