Individual
DR. LUCILE M STROM BAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
230 BACKUS ST, CHEBOYGAN, MI 49721-1504
(231) 627-6161
(231) 627-2921
Mailing address
230 BACKUS ST, CHEBOYGAN, MI 49721-1504
(231) 627-6161
(231) 627-2921
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
LS007551
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143482674
—
MI
01
—
950A660960
BLUE CROSS
MI
01
—
P95208
BLUE CROSS GREAT LAKES NE
MI
Enumeration date
02/14/2007
Last updated
05/01/2013
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