Organization
LAURENT WANNER CHIROPRACTIC, INC.
Active
Organization
LAURENT WANNER CHIROPRACTIC, INC.
Active
Other names
Wanner Sports & Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENT E WANNER D.C. (DOCTOR OF CHIROPRACTIC)
(707) 465-4132
Entity
Organization
Contact information
Practice address
1000 NORTHCREST DR STE 3, CRESCENT CITY, CA 95531-2317
(707) 465-4132
(707) 465-4132
Mailing address
1000 NORTHCREST DR STE 3, CRESCENT CITY, CA 95531-2317
(707) 465-4132
(707) 465-4132
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
200250
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DC0200250
—
CA
Enumeration date
03/23/2011
Last updated
04/08/2011
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