Organization
LAKE NORMAN PAIN RELIEF & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J CIPRIANI D.C. (CHIROPRACTIC PHYSICIAN)
(704) 896-1811
Entity
Organization
Contact information
Practice address
19315 W CATAWBA AVE, SUITE 100, CORNELIUS, NC 28031-8650
(704) 896-1811
(704) 896-1812
Mailing address
19315 W CATAWBA AVE, SUITE 100, CORNELIUS, NC 28031-8650
(704) 896-1811
(704) 896-1812
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
3473
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0850X
BCBS PROVIDER #
NC
Enumeration date
11/07/2006
Last updated
06/16/2008
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