Individual
DR. TESSA MADLYN LARUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
18624 DETROIT AVE, LAKEWOOD, OH 44107-3248
(216) 221-1788
Mailing address
18624 DETROIT AVE, LAKEWOOD, OH 44107-3248
(216) 221-1788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-04867
OH
Other
Enumeration date
01/29/2019
Last updated
02/19/2019
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