Organization · NPI-2

100 Chiro Lewis Peck LLC

Chiropractor · Oklahoma City, OK

NPI number1316717655
StatusActive
Last updated in NPPESDec 30, 2024

Details

NPI
1316717655
Entity type
Organization (NPI-2)
Legal business name
100 Chiro Lewis Peck LLC
Organization subpart
No
Enumeration date
Jan 8, 2024
Certification date
Dec 30, 2024
Last updated
Dec 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

13100 N Penn Ave Ste C
Oklahoma City, OK 73120

Phone 405-760-9914

Mailing address

13100 N Penn Ave Ste C
Oklahoma City, OK 73120

Authorized official

Heather Peck
Franchisee
4057609914

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