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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