Organization
LIFESPORT CHIROPRACTIC CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M ERIKSON DC (SOLE PROPRIETOR)
(303) 877-1458
Entity
Organization
Contact information
Practice address
2955 VALMONT RD, STE. 100, BOULDER, CO 80301-1396
(303) 877-1458
Mailing address
2955 VALMONT RD, STE. 100, BOULDER, CO 80301-1396
(303) 877-1458
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
6225
CO
261QR0400X
Rehabilitation Clinic/Center
6225
CO
Other
Enumeration date
12/11/2008
Last updated
04/02/2010
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