Organization
LORD CHIROPRACTIC CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN ALICE LORD DC (OWNER)
(623) 939-8325
Entity
Organization
Contact information
Practice address
5041 W NORTHERN AVE, SUITE A, GLENDALE, AZ 85301-1539
(623) 939-8325
Mailing address
5041 W NORTHERN AVE, SUITE A, GLENDALE, AZ 85301-1539
(623) 939-8325
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
416
AZ
Other
Enumeration date
10/24/2006
Last updated
03/18/2010
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