| Life Clinic Of Mo Dc Pc | |
|
2051 South Lindbergh Blvd, Frontenac, MO 63131 | |
| (952) 229-7464 | |
| Not Available |
| Full Name | Life Clinic Of Mo Dc Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2051 South Lindbergh Blvd, Frontenac, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891331369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Robert Ryan Lewis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093213589 PECOS PAC ID: 5092075333 Enrollment ID: I20180207001285 |
| Provider Name | Trenton Parker Civello |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497319628 PECOS PAC ID: 3779994447 Enrollment ID: I20201201003190 |
| Provider Name | Drew Rapert |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942951942 PECOS PAC ID: 0749676526 Enrollment ID: I20220404001258 |
| Provider Name | Rosario Bruno |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942978473 PECOS PAC ID: 3173916079 Enrollment ID: I20220921003878 |
| Provider Name | Paige M Luth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821701566 PECOS PAC ID: 0446694848 Enrollment ID: I20240213003884 |
| Mailing Address | Practice Location Address |
|---|---|
| Life Clinic Of Mo Dc Pc Po Box 549, Chanhassen, MN 55317-0549 Ph: () - | Life Clinic Of Mo Dc Pc 2051 South Lindbergh Blvd, Frontenac, MO 63131 Ph: (952) 229-7464 |
Thrive For Life Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 729 Old Frontenac Sq, Frontenac, MO 63131 Phone: 314-395-4934 | |
Dr. Trenton Parker Civello, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2051 S Lindbergh, Frontenac, MO 63131 Phone: 148-880-8583 | |
Dr. Brian Sylve, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 729 Old Frontenac Sq, Frontenac, MO 63131 Phone: 314-395-4934 | |
Paige M Luth, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2051 South Lindbergh Blvd., Frontenac, MO 63131 Phone: 314-888-0858 | |
Drew Rapert, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2051 S Lindbergh Blvd, Frontenac, MO 63131 Phone: 314-888-0858 |