Organization
LIFESTREAM CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA CARVER (CHIROPRACTOR)
(515) 259-9336
Entity
Organization
Contact information
Practice address
1830 SE PRINCETON DR, SUITE D, GRIMES, IA 50111-4826
(515) 259-9336
Mailing address
1830 SE PRINCETON DR, SUITE D, GRIMES, IA 50111-4826
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
080433
IA
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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