Organization
LEBANON CHIROPRACTIC CENTER
Active
Other names
Lebanon Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
JARED STUBBLEFIELD (OWNER)
(717) 273-3741
Entity
Organization
Contact information
Practice address
2234 CUMBERLAND ST, LEBANON, PA 17042-2583
(717) 273-3741
Mailing address
2234 CUMBERLAND ST, LEBANON, PA 17042-2583
(717) 273-3741
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010295
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316274285
INDIVIDUAL NPI
CA
Enumeration date
01/17/2014
Last updated
01/17/2014
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