Individual
DR. LARRY LEE NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6749 S WESTNEDGE AVE, SUITE B, PORTAGE, MI 49002-3574
(269) 324-3131
(269) 329-2983
Mailing address
6749 S WESTNEDGE AVE, SUITE B, PORTAGE, MI 49002-3574
(269) 324-3131
(269) 329-2983
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006036
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950C96411
BLUE CROSS BLUE SHIELD
MI
01
—
G04627
BLUE CARE NETWORK
MI
Enumeration date
01/05/2007
Last updated
07/08/2007
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