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Organization

CHIROPRACTIC WELLNESS CENTER OF ST LOUIS LLC

Active
Other names
Chiropractic Wellness Center of South County
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LORENELLE LOFQUIST D.C. (OWNER)
(636) 825-6555
Entity
Organization

Contact information

Practice address
1747 SMIZER STATION RD, STE. 4, FENTON, MO 63026-2784
(636) 825-6555
(636) 825-6546
Mailing address
1747 SMIZER STATION RD, STE. 4, FENTON, MO 63026-2784
(636) 825-6555
(636) 825-6546

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
2011012193
MO

Other

Enumeration date
05/11/2011
Last updated
07/13/2011
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