Organization
EVERGREEN LIFE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTEN LAZZELL D.C. (CHIROPRACTOR)
(248) 607-9511
Entity
Organization
Contact information
Practice address
32000 WOODWARD AVE, SUITE A, ROYAL OAK, MI 48073-0998
(248) 838-3195
Mailing address
32000 WOODWARD AVE, SUITE A, ROYAL OAK, MI 48073-0998
(248) 838-3195
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301010513
MI
Other
Enumeration date
03/08/2017
Last updated
10/15/2017
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