NPI 1003081290

Lake Wales Chiropractic Center INC

Organisation Chiropractor Lake Wales, FL

Practice location

Address: 343 W Central Ave Suite 103, Lake Wales, FL 33853-4059
Phone: (863) 676-7619
Fax: (863) 676-7610

Authorised official

Name: Ronald L. Harrell
Title: President
Phone: (863) 676-7619

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CH4000 (FL)

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Registry record

NPI: 1003081290
Entity type: Organization
NPI issued: 28 Apr 2008
Record last updated: 28 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.