Individual
LAMBROS N KOTTALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
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
Enumeration date
11/26/2010
Last updated
10/24/2017
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