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Dr. Lanny Craig Crockett, DC
Chiropractor in Snowflake, Arizona
NPI 1780644195

Lanny Craig Crockett is a Chiropractor based in Snowflake, AZ. Lanny Craig Crockett practices in Snowflake, AZ and has the professional credentials of DC. The NPI Number for Lanny Craig Crockett is 1780644195 and holds a License No. 7414 (Arizona).

The current practice location address for Lanny Craig Crockett is 1300 S Main St, Snowflake, AZ and can be reached out via phone at 928-536-5525 and via fax at 928-484-6070.

Location: 1300 S Main St, Snowflake, AZ, 85937-5662
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780644195
Provider Name
Lanny Craig Crockett
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1300 S Main St, Snowflake, AZ, 85937-5662
Phone Number
928-536-5525
Fax Number
928-484-6070
Provider Enumeration Date
03/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AZ0939810 01 AZ BLUE CROSS BLUE SHIELD AZ
841595 05 AZ
institution
Provider Business Practice Location Address Details
Address
1300 S Main St
City
Snowflake
State
Arizona
Zip
85937-5662
Phone Number
928-536-5525
Fax Number
928-484-6070
person
Provider Business Mailing Address Details
Address
1300 S Main St
City
Snowflake
State
Arizona
Zip
85937-5662
Phone Number
928-536-5525
Fax Number
928-484-6070
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
7414 (Arizona)
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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