Organization
AUSTIN LAKE CHIROPRACTIC INC.
Active
Other names
Austin Lake Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON DOUGLAS LYNES DC (CEO)
(269) 324-1449
Entity
Organization
Contact information
Practice address
8827 PORTAGE RD, PORTAGE, MI 49002-6415
(269) 324-1449
(269) 323-2970
Mailing address
8827 PORTAGE RD., PORTAGE, MI 49002-6415
(269) 324-1449
(269) 323-2970
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007246
MI
332B00000X
Durable Medical Equipment & Medical Supplies
—
MI
Other
Enumeration date
12/01/2006
Last updated
10/28/2010
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