Organization
LSG CORP
Active
Organization
LSG CORP
Active
Other names
Premier Sports Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE STEPHEN GRIMM D.C (PRESIDENT AND OWNER)
(214) 696-5100
Entity
Organization
Contact information
Practice address
6025 ROYAL LANE, SUITE 6051, DALLAS, TX 75230
(214) 696-5100
Mailing address
6025 ROYAL LANE, SUITE 6051, DALLAS, TX 75230
(214) 696-5100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
10863
TX
Other
Enumeration date
12/05/2008
Last updated
02/03/2009
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