Organization
GARDEN LAKES CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE L LAJEUNESSE DC (DOCTOR OF CHIROPRACTIC/OWNER OF GAR)
(623) 877-0156
Entity
Organization
Contact information
Practice address
10720 W INDIAN SCHOOL RD, SUITE 67, PHOENIX, AZ 85037-5721
(623) 877-0156
(623) 877-4541
Mailing address
10720 W INDIAN SCHOOL RD, SUITE 67, PHOENIX, AZ 85037-5721
(623) 877-0156
(623) 877-4541
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7276
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10659982721
UNKNOWN
AZ
01
—
11172918
CAQH
AZ
01
—
AW4523
UNKNOWN
AZ
01
—
AZ0937460
BCBS
AZ
Enumeration date
01/14/2008
Last updated
09/27/2022
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