Organization
LP CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN NELSON (BILLING)
(262) 697-1363
Entity
Organization
Contact information
Practice address
5703 75TH ST, KENOSHA, WI 53142-3603
(262) 697-1363
(262) 697-1388
Mailing address
5703 75TH ST, KENOSHA, WI 53142-3603
(262) 697-1363
(262) 697-1388
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11N00000X
WI
Other
Enumeration date
05/15/2007
Last updated
08/10/2011
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