Organization
LAGENA L ROSA DC PA
Active
Other names
Bradford Square Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
LAGENA L ROSA DC (PRESIDENT)
(870) 424-3611
Entity
Organization
Contact information
Practice address
230 HWY 5 NORTH, SUITE 10, MOUNTAIN HOME, AR 72653-2416
(870) 424-3611
(870) 424-3761
Mailing address
230 HWY 5 NORTH, SUITE 10, MOUNTAIN HOME, AR 72653-2416
(870) 424-3611
(870) 424-3761
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1711
AR
Other
Enumeration date
08/24/2007
Last updated
11/23/2009
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