Individual
EVA LECTORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
305 W PIKE ST, LAWRENCEVILLE, GA 30046-3212
(404) 900-0000
Mailing address
1163 W PEACHTREE ST NE APT 1606, ATLANTA, GA 30309-4541
(787) 638-4505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR011255
GA
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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