Organization
LIFELINE CHIROPRACTIC AND NATURAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS J BUFFALINO DC (OWNER)
(931) 626-5088
Entity
Organization
Contact information
Practice address
1133 MILITARY CUTOFF RD, SUITE 110, WILMINGTON, NC 28405-3684
(910) 679-4079
Mailing address
1133 MILITARY CUTOFF RD, SUITE 110, WILMINGTON, NC 28405-3684
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4649
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCT5000281
MEDICARE PTAN
NC
Enumeration date
02/03/2017
Last updated
08/30/2017
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