Organization
LAFAYETTE SQUARE CHIROPRACTIC CENTRE, LLC
Active
Other names
Lafayette Square Chiropractic Centre
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL B PEAIRS D.C. (OWNER)
(314) 497-5507
Entity
Organization
Contact information
Practice address
1013 S 18TH ST, SAINT LOUIS, MO 63104-2909
(314) 497-5507
(314) 499-8310
Mailing address
1013 S 18TH ST, SAINT LOUIS, MO 63104-2909
(314) 436-3050
(314) 499-8310
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
20004024604
MO
Other
Enumeration date
09/13/2006
Last updated
09/16/2022
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