Individual
MRS. LAUREN MICHELLE SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4200 AIRLINE DR STE 600, BOSSIER CITY, LA 71111-2189
(318) 588-5222
Mailing address
4200 AIRLINE DR STE 600, BOSSIER CITY, LA 71111-2189
(318) 588-5222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1882
LA
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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