Organization
DR. TYLER, LLC
Active
Other names
Fundamental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE P. TYLER D.C. (OWNER/PROVIDER)
(636) 239-2323
Entity
Organization
Contact information
Practice address
305 N 4TH STREET, WASHINGTON, MO 63090-2322
(636) 239-2323
(636) 239-7168
Mailing address
305 N 4TH STREET, WASHINGTON, MO 63090-2322
(636) 239-2323
(636) 239-7168
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
4945
MO
Other
Enumeration date
03/29/2007
Last updated
06/01/2010
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