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Individual

DR. IPERLITTA VANCE LOLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
308 N GRAY ST # B, KILLEEN, TX 76541-5245
(225) 522-1380
(888) 620-8147
Mailing address
308 N GRAY ST # B, KILLEEN, TX 76541-5245
(225) 522-1380
(888) 620-8147

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13635
TX
111N00000X
Chiropractor
1757
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1780059295
NPI
TX
05
392409401
TX
Enumeration date
12/09/2015
Last updated
05/28/2024
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