Organization
LIFETIME FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN MANN D.C. (OWNER)
(563) 499-0111
Entity
Organization
Contact information
Practice address
2444 E KIMBERLY RD, SUITE B, DAVENPORT, IA 52807-2368
(563) 499-0111
Mailing address
2444 E KIMBERLY RD, SUITE B, DAVENPORT, IA 52807-2368
(563) 499-0111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
083519
IA
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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