Organization · NPI-2

Lakeview Chiropractic And Wellness Clinic, S.C.

Clinic/Center · Racine, WI

NPI number1912237132
StatusActive
Last updated in NPPESMay 19, 2010

Details

NPI
1912237132
Entity type
Organization (NPI-2)
Legal business name
Lakeview Chiropractic And Wellness Clinic, S.C.
Organization subpart
No
Enumeration date
Jan 11, 2010
Last updated
May 19, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center455412WIYes

Practice location

414 Sixth St
Racine, WI 53403-1218

Phone 262-637-1822 · Fax 262-637-4522

Mailing address

414 Sixth St
Racine, WI 53403-1218

Phone 262-637-1822 · Fax 262-637-4522

Authorized official

Nicholas Reinhart Pope
Chiropractor
2628807175

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