Individual
JOHN LUSICIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
606 E BOONESLICK RD, WARRENTON, MO 63383-2102
(636) 400-3213
Mailing address
606 E BOONESLICK RD, WARRENTON, MO 63383-2102
(636) 400-3213
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2022000582
MO
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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