Individual
LISA DEANN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
400 W 4TH ST STE B, CORNING, AR 72422-2724
(870) 857-0255
Mailing address
400 W 4TH ST STE B, CORNING, AR 72422-2724
(870) 857-0255
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16025
AR
Other
Enumeration date
07/25/2013
Last updated
03/18/2016
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