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Mrs. Laura Marie Johnson Stevenson, BSDCCCEP
Chiropractor in Jerome, Idaho
NPI 1649357351

Laura Marie Johnson Stevenson is a Chiropractor based in Jerome, ID. Laura Marie Johnson Stevenson practices in Jerome, ID and has the professional credentials of BSDCCCEP. The NPI Number for Laura Marie Johnson Stevenson is 1649357351 and holds a License No. CHIRO584 (Idaho).

The current practice location address for Laura Marie Johnson Stevenson is 600 N Lincoln Ave, Jerome, ID and can be reached out via phone at 208-324-3730 and via fax at 208-324-5512.

Location: 600 N Lincoln Ave, Jerome, ID, 83338-1850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649357351
Provider Name
Laura Marie Johnson Stevenson
Credential
BSDCCCEP
Provider Entity Type
Individual
Gender
Female
Address
600 N Lincoln Ave, Jerome, ID, 83338-1850
Phone Number
208-324-3730
Fax Number
208-324-5512
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C5681 01 ID BLUE CROSS OF IDAHO
10019692 01 ID BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
600 N Lincoln Ave
City
Jerome
State
Idaho
Zip
83338-1850
Phone Number
208-324-3730
Fax Number
208-324-5512
person
Provider Business Mailing Address Details
Address
600 N Lincoln Ave
City
Jerome
State
Idaho
Zip
83338-1850
Phone Number
208-324-3730
Fax Number
208-324-5512
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIRO584 (Idaho)
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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