Organization
MAIN LINE INNTEGRATIVE AND FUNCTIONAL MEDICINE
Active
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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