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Individual

DR. LISA BOCHYNSKI BASLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C

Contact information

Practice address
8705 PROFESSIONAL PL, MANASSAS, VA 20110-4411
(703) 393-8228
(703) 393-9558
Mailing address
8705 PROFESSIONAL PL, MANASSAS, VA 20110-4411
(703) 393-8228
(703) 393-9558

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001920
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1030999
ASH
VA
01
336611
ANTHEM
VA
01
G6430002
CAREFIRST
VA
Enumeration date
10/26/2006
Last updated
07/08/2007
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