Individual
LAUREN CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15328 MANCHESTER RD, BALLWIN, MO 63011-3027
(636) 735-1199
Mailing address
15328 MANCHESTER RD, BALLWIN, MO 63011-3027
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2025047353
MO
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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