person
Dr. Lawrence Clifford Wallen III, DC
Chiropractor in Estero, Florida
NPI 1295050516

Lawrence Clifford Wallen III is a Chiropractor based in Estero, FL. Lawrence Clifford Wallen III practices in Estero, FL and has the professional credentials of DC. The NPI Number for Lawrence Clifford Wallen III is 1295050516 and holds a License No. 2301009662 (Florida).

The current practice location address for Lawrence Clifford Wallen III is 21740 S Tamiami Trl, Estero, FL and can be reached out via phone at 239-676-9116.

Location: 21740 S Tamiami Trl, Estero, FL, 33928-2819
person
Provider Profile Details
NPI Number
1295050516
Provider Name
Lawrence Clifford Wallen III
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
21740 S Tamiami Trl, Estero, FL, 33928-2819
Phone Number
239-676-9116
Fax Number
Provider Enumeration Date
03/30/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008271600 05 FL
institution
Provider Business Practice Location Address Details
Address
21740 S Tamiami Trl
City
State
Zip
33928-2819
Phone Number
239-676-9116
Fax Number
person
Provider Business Mailing Address Details
Address
21740 S Tamiami Trl
City
State
Zip
33928-2819
Phone Number
239-676-9116
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
2301009662 (Michigan)
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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