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Organization

LAKE CHIROPRACTIC CENTER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHAD MICHAEL LAKE D.C. (OWNER/PRESIDENT)
(517) 622-8552
Entity
Organization

Contact information

Practice address
914 CHARLEVOIX DR, SUITE 120, GRAND LEDGE, MI 48837-2280
(517) 622-8552
(517) 622-8591
Mailing address
914 CHARLEVOIX DR, SUITE 120, GRAND LEDGE, MI 48837-2280
(517) 622-8552
(517) 622-8591

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008249
MI

Other

Enumeration date
07/16/2007
Last updated
07/16/2007
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