Organization
LAKE CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW E LAKE D.C. (PRESIDENT)
(970) 884-1072
Entity
Organization
Contact information
Practice address
40031 US HIGHWAY 160, SUITE C, BAYFIELD, CO 81122-8746
(970) 884-1072
(970) 884-1074
Mailing address
PO BOX 1745, BAYFIELD, CO 81122-1745
(970) 884-1072
(970) 884-1074
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5818
CO
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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