Individual
DR. MICHAEL LANE BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
807 WILSON AVE, DAPHNE, AL 36526-4221
(251) 626-9898
Mailing address
807 WILSON AVE, DAPHNE, AL 36526-4221
(251) 626-9898
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1712
AL
Other
Enumeration date
12/27/2006
Last updated
10/12/2011
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