Organization
LIFECLINIC CHIROPRACTIC OF NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA POUR ALIZADEH DC (OWNER)
(651) 690-0866
Entity
Organization
Contact information
Practice address
121 CARNEGIE STREET, HENDERSON, NV 89052-7118
(952) 229-7558
Mailing address
P.O. BOX 549, CHANHASSEN, MN 55317-0549
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/29/2013
Last updated
10/13/2015
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