Organization
EAST WEST LIFE SOLUTIONS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAMBROS NICHOLAS KOTTALIS DC (CEO)
(810) 522-3095
Entity
Organization
Contact information
Practice address
221 S MILL ST, CLIO, MI 48420-2324
(810) 522-3095
Mailing address
14543 BLUE HERON DR, FENTON, MI 48430-3268
(810) 522-3095
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009759
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134421019
—
MI
Enumeration date
10/16/2017
Last updated
10/16/2017
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