Organization
LIFE FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY RENEE LOWE D.C. (PRESIDENT)
(907) 373-4325
Entity
Organization
Contact information
Practice address
2650 E BROADVIEW AVE, SUITE Z, WASILLA, AK 99654-8302
(907) 373-4325
(907) 376-7440
Mailing address
2650 E BROADVIEW AVE, SUITE Z, WASILLA, AK 99654-8302
(907) 373-4325
(907) 376-7440
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
404
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH0404
—
AK
Enumeration date
06/23/2008
Last updated
08/17/2009
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