Organization
LUMOS CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAIR MARIE WILKINSON D.C. (OWNER/OPERATOR)
(541) 285-8424
Entity
Organization
Contact information
Practice address
24 W OREGON AVE, CRESWELL, OR 97426-9259
(541) 895-4464
(541) 895-3359
Mailing address
326 S 1ST ST, COTTAGE GROVE, OR 97424-2138
(541) 285-8424
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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