# LODI CHIROPRACTIC CLINIC, LLC

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

## Provider details

- **NPI number:** 1568786051
- **Authorized official:** DR. JOEL R COOPER D.C. (PRESIDENT/MEMBER)
- **Authorized official phone:** (608) 592-7030

## Contact information

- **Practice address:** 154 LODI ST, LODI, WI 53555-1217
- **Practice address phone:** (608) 592-7030
- **Mailing address:** 154 LODI ST, LODI, WI 53555-1217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3161-012 | WI | Yes |

## Other

- **Enumeration date:** 03/26/2010
- **Last updated:** 03/26/2010