NPI 1093102428

Codi Fuller, DC

Practitioner Chiropractor Lewiston, ID

Practice location

Address: 30207 Rosenkrantz Rd, Lewiston, ID 83501-5229
Phone: (208) 691-8647

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CHIA-1649 (ID)

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Registry record

NPI: 1093102428
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2015
Record last updated: 31 Jul 2016

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.