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Individual

DR. LEWIS EMMETT MOCK III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1715 N WEBER ST, STE 200, COLORADO SPRINGS, CO 80907-7532
(719) 473-7464
(719) 473-2861
Mailing address
2020 N CORONA ST, COLORADO SPRINGS, CO 80907-7009
(719) 632-4724

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3066
CO

Other

Enumeration date
08/15/2006
Last updated
08/06/2009
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