Organization
LEE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED THOMAS LEE D.C. (OWNER/CHIROPRACTOR)
(337) 912-4901
Entity
Organization
Contact information
Practice address
2500 MAPLEWOOD DR, SUITE 3, SULPHUR, LA 70663-6100
(337) 625-6711
Mailing address
2500 MAPLEWOOD DR, SUITE 3, SULPHUR, LA 70663-6100
(337) 625-6711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316172133
INDIVIDUAL NPI NUMBER
LA
Enumeration date
08/19/2009
Last updated
08/19/2009
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