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Organization
LARK CHIROPRACTIC
Active
Organization
LARK CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LARK D.C. (OWNER)
(559) 221-6234
Entity
Organization
Contact information
Practice address
125 E BARSTOW AVE STE 150, FRESNO, CA 93710-5023
(559) 221-6234
Mailing address
125 E BARSTOW AVE STE 150, FRESNO, CA 93710-5023
(559) 221-6234
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
18493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77-040002
EIN
CA
Enumeration date
03/04/2009
Last updated
03/04/2009
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