Lagena L Rosa Dc PA
Chiropractor in Mountain Home, AR. Organization (NPI-2).
NPI number1750574422
StatusActive
Last updated in NPPESNov 23, 2009
Details
- NPI
- 1750574422
- Entity type
- Organization (NPI-2)
- Legal business name
- Lagena L Rosa Dc PA
- Organization subpart
- No
- Enumeration date
- Aug 24, 2007
- Last updated
- Nov 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 1711 | AR | Yes |
Other names
- Bradford Square Chiropractic (Doing Business As)
Practice location
230 Hwy 5 NorthSuite 10
Mountain Home, AR 72653-2416
Phone 870-424-3611 · Fax 870-424-3761
Mailing address
230 Hwy 5 NorthSuite 10
Mountain Home, AR 72653-2416
Phone 870-424-3611 · Fax 870-424-3761
Authorized official
Lagena L Rosa
President
8704243611
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