Organization
LIVONIA BACK TO HEALTH CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON LAWLOR DC (PRESIDENT)
(734) 432-7071
Entity
Organization
Contact information
Practice address
16801 NEWBURGH RD, SUITE 109, LIVONIA, MI 48154-1606
(734) 432-7071
(734) 432-7940
Mailing address
16801 NEWBURGH RD, SUITE 109, LIVONIA, MI 48154-1606
(734) 432-7071
(734) 432-7940
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008458
MI
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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