Organization
LEE CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD ALVIN DESJARLAIS D.C. (VICE PRESIDENT)
(919) 776-4304
Entity
Organization
Contact information
Practice address
707 CARTHAGE ST, SANFORD, NC 27330-4108
(919) 776-4304
(919) 776-4305
Mailing address
707 CARTHAGE ST, SANFORD, NC 27330-4108
(919) 776-4304
(919) 776-4305
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2650
NC
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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