Organization
TABER CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE LENZEN TABER D.C. (OWNER/CHIROPRACTOR)
(301) 352-4500
Entity
Organization
Contact information
Practice address
14300 GALLANT FOX LANE, SUITE 201, BOWIE, MD 20715-4003
(301) 352-4500
(301) 352-6510
Mailing address
14300 GALLANT FOX LANE, SUITE 201, BOWIE, MD 20715-4003
(301) 352-4500
(301) 352-6510
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
MD
111N00000X
Chiropractor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LR25TA
CAREFIRST BC/BS
MD
01
—
S241
CAREFIRST BC/BS
DC
Enumeration date
03/21/2007
Last updated
09/27/2011
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