Individual
DR. NICHOLAS J LIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3899 MID RIVERS MALL DR, SAINT PETERS, MO 63376-2870
(636) 936-3613
(936) 936-8069
Mailing address
1026 LAKESHORE DR, SAINT CHARLES, MO 63303-2125
(636) 358-1905
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2019046195
MO
207T00000X
Neurological Surgery Physician
2019046195
MO
Other
Enumeration date
01/07/2020
Last updated
08/28/2021
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