Organization
CHIROPRACTIC WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIE LOFQUIST D.C (OWNER CHIROPRACTIC PHYSICIAN)
(636) 825-6555
Entity
Organization
Contact information
Practice address
1747 SMIZER STATION RD, FENTON, MO 63026-2784
(636) 825-6555
Mailing address
1747 SMIZER STATION RD, FENTON, MO 63026-2784
(636) 825-6555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2016025032
MO
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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