Individual
FREDERICK GEORGE HANNIE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2301 E PRIEN LAKE RD, LAKE CHARLES, LA 70601-7976
(337) 477-0600
(337) 474-4935
Mailing address
2301 E PRIEN LAKE RD, LAKE CHARLES, LA 70601-7976
(337) 477-0600
(337) 474-4935
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1672
LA
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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