Organization
KEYSTONE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA D. INGRUM D.C. (CHIROPRACTOR)
(256) 270-9993
Entity
Organization
Contact information
Practice address
3322 MEMORIAL PKWY SW, SUITE 617, HUNTSVILLE, AL 35801-5335
(256) 270-9993
(256) 270-9994
Mailing address
3322 MEMORIAL PKWY SW, SUITE 617, HUNTSVILLE, AL 35801-5335
(256) 270-9993
(256) 270-9994
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2253
AL
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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