Organization
TERRENCE D LEIST LTD
Active
Other names
Leist Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERENCE DARREL LEIST D.C. (CHIROPRACTOR)
(225) 774-4916
Entity
Organization
Contact information
Practice address
1866 MAIN ST, BAKER, LA 70714-2842
(225) 774-4916
(225) 774-0460
Mailing address
1866 MAIN ST, BAKER, LA 70714-2842
(225) 774-4916
(225) 774-0460
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
533
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2285A
BLUE CROSS
LA
01
—
692938
AETNA
LA
Enumeration date
01/30/2008
Last updated
01/11/2012
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