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Organization
LACEY CHIROPRACTIC CLINIC
Active
Organization
LACEY CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD D LACEY DC (PRESIDENT)
(843) 237-1919
Entity
Organization
Contact information
Practice address
9428 OCEAN HWY STE 1, PAWLEYS ISL, SC 29585-8259
(843) 237-1919
(843) 237-7694
Mailing address
PO BOX 2009, PAWLEYS ISL ,, SC 29585-2009
(843) 237-1919
(843) 237-7694
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GCH304
—
SC
Enumeration date
11/19/2007
Last updated
11/20/2007
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