Organization
CONLON CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE J. CONLON D.C. (DOCTOR/OWNER)
(772) 335-3660
Entity
Organization
Contact information
Practice address
1775 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5479
(772) 335-3660
(772) 335-3663
Mailing address
1775 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5479
(772) 335-3660
(772) 335-3663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53919
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
04/21/2009
Last updated
06/25/2009
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