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Organization

LIFESTYLE CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIFFANY LONGORIA DC (CHIROPRACTIC PHYSICIAN)
(928) 288-0500
Entity
Organization

Contact information

Practice address
3192 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2239
(928) 288-0500
(928) 432-7003
Mailing address
3192 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2239
(928) 288-0500

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8698
AZ

Other

Enumeration date
04/06/2018
Last updated
08/23/2022
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