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Lake St. Louis Chiropractic
Chiropractor in Ofallon, Missouri
NPI 1649454661

Lake St. Louis Chiropractic is a Chiropractor based in Ofallon, MO. Lake St. Louis Chiropractic practices in Ofallon, MO. The NPI Number for Lake St. Louis Chiropractic is 1649454661 and holds a License No. 2007032057 (Missouri).

The current practice location address for Lake St. Louis Chiropractic is 2161 West Terra Lane, Ofallon, MO and can be reached out via phone at 636-887-9003 and via fax at 636-327-6090.

Location: 2161 West Terra Lane, Ofallon, MO, 63366-2366
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649454661
Provider Name
Lake St. Louis Chiropractic
Credential
Provider Entity Type
Organization
Address
2161 West Terra Lane, Ofallon, MO, 63366-2366
Phone Number
636-887-9003
Fax Number
636-327-6090
Provider Enumeration Date
12/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D00754 01 MO RR MEDICARE
PENDING 01 BCBS
institution
Provider Business Practice Location Address Details
Address
2161 West Terra Lane
City
Ofallon
State
Missouri
Zip
63366-2366
Phone Number
636-887-9003
Fax Number
636-327-6090
person
Provider Business Mailing Address Details
Address
2161 West Terra Lane
City
Ofallon
State
Missouri
Zip
63366-2366
Phone Number
636-887-9003
Fax Number
636-327-6090
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2007032057 (Missouri)
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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