Individual
ANDREW EASTERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
801 JOHNSON ST, TALLULAH, LA 71282-4534
(318) 935-0899
(318) 493-5096
Mailing address
801 JOHNSON ST, TALLULAH, LA 71282-4534
(318) 935-0899
(318) 493-5096
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1709
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2646753
—
LA
Enumeration date
05/14/2014
Last updated
09/10/2024
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