Organization
LAKE NORMAN CHIROPRACTIC CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LEIGH JENNINGS (OFFICE MANAGER)
(704) 664-3455
Entity
Organization
Contact information
Practice address
612 N MAIN ST, MOORESVILLE, NC 28115-2312
(704) 664-3455
(704) 664-2827
Mailing address
612 N MAIN ST, MOORESVILLE, NC 28115-2312
(704) 664-3455
(704) 664-2827
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4232
NC
Other
Enumeration date
01/13/2014
Last updated
02/03/2014
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