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Individual

MR. LUIS ALBERTO PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
313 W 14TH, LARNED, KS 67550
(620) 285-6600
(620) 285-6600
Mailing address
510 BROADWAY ST, # B, LARNED, KS 67550-3042
(620) 285-6600
(620) 285-6600

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104686
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
062150
BCBS
KS
Enumeration date
09/16/2006
Last updated
06/05/2018
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