# SOUTH LEBANON CHIROPRACTIC CLINIC INC

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

## Provider details

- **NPI number:** 1720320054
- **Authorized official:** DR. THOMAS BOLERA D.C. (OWNER/OPERATOR)
- **Authorized official phone:** (740) 876-8298

## Contact information

- **Practice address:** 215 E FOREST AVE, SOUTH LEBANON, OH 45065-1311
- **Practice address phone:** (740) 876-8298
- **Mailing address:** 215 E FOREST AVE, SOUTH LEBANON, OH 45065-1311
- **Mailing address phone:** (740) 876-8298

## Taxonomy

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

## Other

- **Enumeration date:** 03/25/2013
- **Last updated:** 03/25/2013