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Dr. Lisa Rene Farias, DC
Chiropractor in Fort Wayne, Indiana
NPI 1073677514

Lisa Rene Farias is a Chiropractor based in Fort Wayne, IN. Lisa Rene Farias practices in Fort Wayne, IN and has the professional credentials of DC. The NPI Number for Lisa Rene Farias is 1073677514 and holds a License No. 08002194A (Indiana).

The current practice location address for Lisa Rene Farias is 4337 Flagstaff Cv, Fort Wayne, IN and can be reached out via phone at 260-485-9300.

Location: 4337 Flagstaff Cv, Fort Wayne, IN, 46815-4400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073677514
Provider Name
Lisa Rene Farias
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
4337 Flagstaff Cv, Fort Wayne, IN, 46815-4400
Phone Number
260-485-9300
Fax Number
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
231870A 01 IN MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
4337 Flagstaff Cv
City
Fort Wayne
State
Indiana
Zip
46815-4400
Phone Number
260-485-9300
Fax Number
person
Provider Business Mailing Address Details
Address
4337 Flagstaff Cv
City
Fort Wayne
State
Indiana
Zip
46815-4400
Phone Number
260-485-9300
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
08002194A (Indiana)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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