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Lisa M Provenza-tabak, DC
Chiropractor in Canfield, Ohio
NPI 1871583948

Lisa M Provenza-tabak is a Chiropractor based in Canfield, OH. Lisa M Provenza-tabak practices in Canfield, OH and has the professional credentials of DC. The NPI Number for Lisa M Provenza-tabak is 1871583948 and holds a License No. 2661 (Ohio).

The current practice location address for Lisa M Provenza-tabak is 3680 Starrs Centre Dr, Canfield, OH and can be reached out via phone at 330-702-0500 and via fax at 330-705-0575.

Location: 3680 Starrs Centre Dr, Canfield, OH, 44406-9514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871583948
Provider Name
Lisa M Provenza-tabak
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
3680 Starrs Centre Dr, Canfield, OH, 44406-9514
Phone Number
330-702-0500
Fax Number
330-705-0575
Provider Enumeration Date
10/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2062888 05 OH
341935351-00 01 OH BWC
institution
Provider Business Practice Location Address Details
Address
3680 Starrs Centre Dr
City
Canfield
State
Ohio
Zip
44406-9514
Phone Number
330-702-0500
Fax Number
330-705-0575
person
Provider Business Mailing Address Details
Address
3680 Starrs Centre Dr
City
Canfield
State
Ohio
Zip
44406-9514
Phone Number
330-702-0500
Fax Number
330-705-0575
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2661 (Ohio)
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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