Organization
LIVING WELL BALANCED, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANKUR PRAKASH DC (OWNER)
(919) 926-8890
Entity
Organization
Contact information
Practice address
4600 LAKE BOONE TRL STE 210, RALEIGH, NC 27607-7529
(919) 926-8890
(919) 590-1825
Mailing address
4600 LAKE BOONE TRL STE 210, RALEIGH, NC 27607-7529
(919) 926-8890
(919) 590-1825
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4479
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4479
NC LICENSE
NC
Enumeration date
11/19/2017
Last updated
11/19/2017
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