Organization
WELLNESS MANAGEMENT CHIROPRACTIC AND MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY LAVIGNE (PRESIDENT)
(337) 433-1919
Entity
Organization
Contact information
Practice address
2121 LAKE ST, LAKE CHARLES, LA 70601-7103
(337) 433-1919
Mailing address
2121 LAKE ST, LAKE CHARLES, LA 70601-7103
(337) 433-1919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1137
LA
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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