Lauren Alison Medina, DC
Chiropractor in Wildwood, MO. Individual provider (NPI-1).
NPI number1699314880
StatusActive
Last updated in NPPESJan 5, 2020
Details
- NPI
- 1699314880
- Entity type
- Individual (NPI-1)
- Name
- Lauren Alison Medina
- Credential
- DC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2020
- Certification date
- Jan 5, 2020
- Last updated
- Jan 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2020000337 | MO | Yes |
Practice location
17197 New College AveWildwood, MO 63040-1100
Phone 636-273-4800
Mailing address
1756 Wilmes RdWentzville, MO 63385-3024
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