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Individual

LAUREN ELDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
631 S LILLIAN AVE, BOLIVAR, MO 65613-2329
(214) 690-4002
Mailing address
1135 CARE AVE, NIXA, MO 65714-9679

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2022046606
MO
171400000X
Health & Wellness Coach
374J00000X
Doula
374K00000X
Religious Nonmedical Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
92-1281351
MO
Enumeration date
12/29/2021
Last updated
01/02/2023
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