Individual
DR. LONNIE ROBERT BAGWELL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10310 FELD FARM LN, SUITE 100, CHARLOTTE, NC 28210-8523
(704) 759-9020
(704) 759-9022
Mailing address
148 AMBER WOODS DR, TEGA CAY, SC 29708-6421
(704) 248-8150
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3498
NC
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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