Organization
LANJOPOULOS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARMAINE LANJOPOULOS DC (OFFICE MANAGER)
(517) 627-4547
Entity
Organization
Contact information
Practice address
309 E SAGINAW HWY, GRAND LEDGE, MI 48837-2191
(517) 627-4547
Mailing address
PO BOX 44, GRAND LEDGE, MI 48837-0044
(517) 627-4547
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006722
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950B310740
MI BCBS
MI
01
—
OB35121
MEDICARE WPS
MI
Enumeration date
09/15/2010
Last updated
09/15/2010
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