Organization
TANIS CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORA L TANIS DC (CHIRPROACTOR/OWNER)
(973) 728-1188
Entity
Organization
Contact information
Practice address
1900 UNION VALLEY RD, SUITE 201, HEWITT, NJ 07421-3024
(973) 728-1188
(973) 728-1033
Mailing address
1900 UNION VALLEY RD, SUITE 201, HEWITT, NJ 07421-3024
(973) 728-1188
(973) 728-1033
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC03939
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5643902
—
NJ
Enumeration date
05/05/2008
Last updated
05/05/2008
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