Organization
LAWYER CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAYNA LYNN BOLERA DC (OWNER/CHIROPRACTOR)
(740) 353-2211
Entity
Organization
Contact information
Practice address
1616 GRANT ST, PORTSMOUTH, OH 45662-3663
(740) 353-2211
(740) 353-4373
Mailing address
PO BOX 279, WHEELERSBURG, OH 45694-0279
(740) 353-2211
(740) 353-4373
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228032
ANTHEM
OH
05
—
0901242
—
OH
01
—
5930627
AETNA
OH
01
—
CE0510
RAIL ROAD MEDICARE
OH
Enumeration date
05/04/2006
Last updated
04/27/2011
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