Lillibonn is a Chiropractor based in Boardman, OH. Lillibonn practices in Boardman, OH. The NPI Number for Lillibonn is 1972189207 and holds a License No. (Ohio).
The current practice location address for Lillibonn is 6775 Applewood Blvd, Boardman, OH and can be reached out via phone at 330-758-2353 and via fax at 330-758-9733.
Location: 6775 Applewood Blvd, Boardman, OH, 44512-4940
Provider Profile Details
NPI Number
1972189207
Provider Name
Lillibonn
Credential
Provider Entity Type
Organization
Address
6775 Applewood Blvd, Boardman, OH, 44512-4940
Phone Number
330-758-2353
Fax Number
330-758-9733
Provider Enumeration Date
03/18/2021
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LICENSE | 01 | OH | DC05023 |
Provider Business Practice Location Address Details
Address
6775 Applewood Blvd
City
State
Zip
44512-4940
Phone Number
330-758-2353
Fax Number
330-758-9733
Provider Business Mailing Address Details
Address
6775 Applewood Blvd
City
State
Zip
44512-4940
Phone Number
330-758-2353
Fax Number
330-758-9733
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
()
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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