Organization
LIFELINE CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY K. PENNISTON D.C. (PRESIDENT)
(520) 745-8101
Entity
Organization
Contact information
Practice address
6563 E 22ND ST, TUCSON, AZ 85710-5106
(520) 745-8101
Mailing address
6563 E 22ND ST, TUCSON, AZ 85710-5106
(520) 745-8101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3199
AZ
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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