Organization
LODI CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL R COOPER D.C. (PRESIDENT/MEMBER)
(608) 592-7030
Entity
Organization
Contact information
Practice address
154 LODI ST, LODI, WI 53555-1217
(608) 592-7030
Mailing address
154 LODI ST, LODI, WI 53555-1217
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3161-012
WI
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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