Organization
SOUTHWEST CHIROPRACTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA LYNN LARSON D.C. (OWNER)
(402) 421-8284
Entity
Organization
Contact information
Practice address
1501 PINE LAKE RD, SUITE #2, LINCOLN, NE 68512-3692
(402) 421-8284
(402) 421-8220
Mailing address
1501 PINE LAKE RD, SUITE #2, LINCOLN, NE 68512-3692
(402) 421-8284
(402) 421-8220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1203
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251735-00
—
NE
Enumeration date
01/16/2007
Last updated
09/11/2007
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