Organization
LEE CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J LEE D.C. (PRESIDENT)
(573) 243-3934
Entity
Organization
Contact information
Practice address
2625 E JACKSON BLVD, JACKSON, MO 63755-2916
(573) 243-3934
Mailing address
2625 E JACKSON BLVD, JACKSON, MO 63755-2916
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2015039253
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205297074
INDIVIDUAL NPI NUMBER
MO
Enumeration date
07/12/2016
Last updated
07/12/2016
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