# LAKE FAMILY CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528643970
- **Authorized official:** DR. SHIRLEY MARIE DELGADO RIVERA DC (PROVIDER/OWNER)
- **Authorized official phone:** (216) 242-6155

## Contact information

- **Practice address:** 24700 CENTER RIDGE RD STE G70, WESTLAKE, OH 44145-5636
- **Practice address phone:** (216) 242-6155
- **Mailing address:** 24700 CENTER RIDGE RD STE G70, WESTLAKE, OH 44145-5636
- **Mailing address phone:** (216) 242-6155
- **Mailing address fax:** (216) 242-6507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2021
- **Last updated:** 03/23/2024
