Individual
BRANDON LEE RACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1210 E MCNEESE ST, LAKE CHARLES, LA 70607-4756
(337) 502-5303
(337) 479-2391
Mailing address
1210 E MCNEESE ST, LAKE CHARLES, LA 70607-4756
(337) 502-5303
(337) 479-2391
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1678
LA
Other
Enumeration date
08/05/2013
Last updated
03/27/2018
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