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Organization
L & L CENTRAL HEALTHCARE, P.C.
Active
Organization
L & L CENTRAL HEALTHCARE, P.C.
Active
Other names
Central Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RUSSELL LANE D.C. (CHIROPRACTOR)
(817) 649-9800
Entity
Organization
Contact information
Practice address
2800 FORESTWOOD DR, STE 102, ARLINGTON, TX 76006-2792
(817) 649-9800
(817) 649-9803
Mailing address
2800 FORESTWOOD DR, STE 102, ARLINGTON, TX 76006-2792
(817) 649-9800
(817) 649-9803
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7158
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265542781
NPI
TX
01
—
1538376322
GROUP NPI
TX
01
—
80560X
BCBS
TX
Enumeration date
05/17/2007
Last updated
05/30/2008
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