Organization
CHIROSOURCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY LOR D.C. (CHIROPRACTOR)
(715) 864-3754
Entity
Organization
Contact information
Practice address
1041 N HASTINGS WAY, EAU CLAIRE, WI 54703-1986
(715) 864-3754
Mailing address
1041 N HASTINGS WAY, EAU CLAIRE, WI 54703-1986
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1942612999
WI
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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