Organization
LIVE WELL CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANE NATHAN CABLE D.C. (PRES.)
(972) 922-7008
Entity
Organization
Contact information
Practice address
3163 E FAIRVIEW AVE, #155, MERIDIAN, ID 83642-8098
(972) 922-7008
Mailing address
4902 SE 2ND AVE, NEW PLYMOUTH, ID 83655-5255
(208) 278-3764
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1323
ID
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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