Individual
LOUIS LEMOINE TISCH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
307 MEADOWLARK LN, FULTON, MO 65251-2457
(573) 642-4387
Mailing address
307 MEADOWLARK LN, FULTON, MO 65251-2457
(573) 642-4387
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002377
MO
Other
Enumeration date
11/07/2006
Last updated
07/09/2007
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