Individual
LISA GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
506 E LOCUST ST, DAVENPORT, IA 52803-4331
(563) 322-8736
Mailing address
506 E LOCUST ST, DAVENPORT, IA 52803-4331
(563) 322-8736
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05249
IA
Other
Enumeration date
03/10/2007
Last updated
02/06/2013
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