Organization
MAIN LINE INNTEGRATIVE AND FUNCTIONAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI ANN KALIE DC (PRESIDENT & CEO)
(484) 254-6186
Entity
Organization
Contact information
Practice address
43 LE FORGE CT, CHESTERBROOK, PA 19087-1223
(484) 254-6186
Mailing address
45 E CITY AVE, BALA CYNWYD, PA 19004-2421
(484) 254-6186
(202) 891-4747
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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