Individual
DR. LUIS OMAR LUCIANO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
851 JOHN B WHITE SR BLVD, SPARTANBURG, SC 29306-4037
(864) 707-0055
Mailing address
105 SIGMON DR, MAULDIN, SC 29662-1872
(787) 462-9505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4950
PR
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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