Organization
NORTHLAKE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE JEANNETTE MACKLIN DC (PRESIDENT/OWNER)
(704) 494-4250
Entity
Organization
Contact information
Practice address
9325 CENTER LAKE DR STE 150, CHARLOTTE, NC 28216-0785
(704) 494-4250
(704) 494-4256
Mailing address
9325 CENTER LAKE DR STE 150, CHARLOTTE, NC 28216-0785
(704) 494-4250
(704) 494-4256
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3690
NC
Other
Enumeration date
03/11/2008
Last updated
08/16/2011
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