Individual
LYNN VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
500 JUNGERMANN RD STE 200, SAINT PETERS, MO 63376-2774
(636) 317-6311
(636) 317-6312
Mailing address
500 JUNGERMANN RD STE 200, SAINT PETERS, MO 63376-2774
(636) 317-6311
(636) 317-6312
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2012030950
MO
Other
Enumeration date
09/04/2012
Last updated
12/31/2020
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