Organization
REBIRTH CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYLE BURKHARDT (PARTNER)
(504) 469-1371
Entity
Organization
Contact information
Practice address
1700 WILLIAMS BLVD, KENNER, LA 70062-6262
(504) 469-1371
Mailing address
1700 WILLIAMS BLVD, KENNER, LA 70062-6262
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1742
LA
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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