Individual
DR. LANNY AVEN DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2642 E THOMAS RD, PHOENIX, AZ 85016-8243
(602) 957-7733
(602) 957-8911
Mailing address
4225 N 21ST ST UNIT 19, PHOENIX, AZ 85016-6161
(602) 770-6927
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7522
AZ
Other
Enumeration date
09/12/2007
Last updated
11/29/2007
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