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Lake State Chiropractic Pllc
Chiropractor in Byron Center, Michigan
NPI 1215540463

Lake State Chiropractic Pllc is a Chiropractor based in Wyoming, MI. Lake State Chiropractic Pllc practices in Byron Center, MI. The NPI Number for Lake State Chiropractic Pllc is 1215540463 and holds a License No. (Michigan).

The current practice location address for Lake State Chiropractic Pllc is 2155 84Th St Sw Ste 4, Byron Center, MI and can be reached out via phone at 269-330-0352. You can also correspond with Lake State Chiropractic Pllc through the mailing address at 4463 PENNY LN SW, WYOMING, MI - 49418-9383 (mailing address contact number: 269-330-0352).

Location: 2155 84Th St Sw Ste 4, Byron Center, MI, 49418-9383
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215540463
Provider Name
Lake State Chiropractic Pllc
Credential
Provider Entity Type
Organization
Address
2155 84Th St Sw Ste 4, Byron Center, MI, 49418-9383
Phone Number
269-330-0352
Fax Number
Provider Enumeration Date
08/27/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1972017481 01 MI INDIVIDUAL NPI
2301010620 01 MI CHIROPRACTIC LICENSE
institution
Provider Business Practice Location Address Details
Address
2155 84Th St Sw Ste 4
City
Byron Center
State
Michigan
Zip
49315-8259
Phone Number
269-330-0352
Fax Number
person
Provider Business Mailing Address Details
Address
4463 Penny Ln Sw
City
Wyoming
State
Michigan
Zip
49418-9383
Phone Number
269-330-0352
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
()
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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