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Organization

LIFEWORKS CHIROPRACTIC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW T GIANFORTE DC (OWNER)
(913) 441-2293
Entity
Organization

Contact information

Practice address
22742 MIDLAND DR, SHAWNEE, KS 66226-3553
(913) 441-2293
Mailing address
22742 MIDLAND DR, SHAWNEE, KS 66226-3553
(913) 441-2293

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0526683
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35900019
BCBS
KS
Enumeration date
05/08/2007
Last updated
03/18/2011
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