Organization
LAKEVIEW REGIONAL CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN RUSSO D.C. (OWNER)
(504) 913-4772
Entity
Organization
Contact information
Practice address
141 W HARRISON AVE, NEW ORLEANS, LA 70124-1301
(504) 913-4772
Mailing address
141 W HARRISON AVE, NEW ORLEANS, LA 70124-1301
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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