Organization
LAKESIDE CHIROPRACTIC, PLLC
Active
Organization
LAKESIDE CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JACOB SMITH DO (OWNER)
(501) 825-7200
Entity
Organization
Contact information
Practice address
5 SHILOH RD, HIGDEN, AR 72067-9521
(501) 825-7200
Mailing address
PO BOX 115, HIGDEN, AR 72067-0115
(501) 825-7200
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1724
AR
Other
Enumeration date
09/12/2016
Last updated
01/09/2023
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