Organization
JERRILYNN J. PRIMEAUX, D.C. (A PROFESSIONAL CHIROPRACTIC CORPORATION)
Active
Other names
ADVANCED CHIROPRACTIC AND SPORTS REHABILITATION CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRILYNN J PRIMEAUX D.C. (CHIROPRACTOR)
(337) 306-0692
Entity
Organization
Contact information
Practice address
201 WESTMARK BLVD, STE E, LAFAYETTE, LA 70506-7370
(337) 504-4378
(337) 534-0041
Mailing address
PO BOX 60082, LAFAYETTE, LA 70596-0082
(337) 504-4378
(337) 534-0041
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1504
LA
Other
Enumeration date
04/20/2010
Last updated
10/05/2015
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