Organization
LIFESTYLES CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET SERMON DC (OWNER)
(208) 322-3606
Entity
Organization
Contact information
Practice address
1159 E IRON EAGLE DR, STE. 100, EAGLE, ID 83616-6871
(208) 322-3606
(208) 327-2109
Mailing address
1159 E IRON EAGLE DR, STE. 100, EAGLE, ID 83616-6871
(208) 322-3606
(208) 327-2109
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-625
ID
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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