Organization
MAYFIELD CHIROPRACTIC LAKE CHARLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL MAYFIELD D.C. (AUTHORIZED AGENT)
(337) 656-4514
Entity
Organization
Contact information
Practice address
3101 LAKE ST STE 101, LAKE CHARLES, LA 70601-8337
(337) 656-4514
(337) 656-4517
Mailing address
3101 LAKE ST STE 101, LAKE CHARLES, LA 70601-8337
(337) 656-4514
(337) 656-4517
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1607
LA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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