Organization
633 CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IPERLITTA VANCE LOLIS DC (CHIROPRACTOR/OWNER)
(225) 522-1380
Entity
Organization
Contact information
Practice address
308 N GRAY ST # B, KILLEEN, TX 76541-5245
(225) 522-1380
(888) 620-8147
Mailing address
308 N GRAY ST # B, KILLEEN, TX 76541-5245
(225) 522-1380
(888) 620-8147
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780059295
NPI
—
05
—
392409401
—
TX
Enumeration date
04/26/2018
Last updated
05/28/2024
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