Organization
ACTIVE AND WELL FAMILY CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CAMPIONE D.C. (OWNER/CHIROPRACTOR)
(518) 705-9355
Entity
Organization
Contact information
Practice address
131 E STATE ST, GLOVERSVILLE, NY 12078-1205
(518) 725-9355
(518) 725-9365
Mailing address
131 E STATE ST, GLOVERSVILLE, NY 12078-1205
(518) 725-9355
(518) 725-9365
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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