Lifesport Chiropractic Chiropractic Llc | |
2955 Valmont Rd Ste. 100 Boulder CO 80301-1396 | |
(303) 877-1458 | |
Not Available |
Full Name | Lifesport Chiropractic Chiropractic Llc |
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Speciality | Clinic/center - Primary Care |
Location | 2955 Valmont Rd, Boulder, Colorado |
Authorized Official Name and Position | Lisa M Erikson (SOLE PROPRIETOR) |
Authorized Official Contact | 3038771458 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifesport Chiropractic Chiropractic Llc 2955 Valmont Rd Ste. 100 Boulder CO 80301-1396 Ph: (303) 877-1458 | Lifesport Chiropractic Chiropractic Llc 2955 Valmont Rd Ste. 100 Boulder CO 80301-1396 Ph: (303) 877-1458 |
NPI Number | 1447495932 |
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Provider Enumeration Date | 12/11/2008 |
Last Update Date | 04/02/2010 |
Identifier | Type | State | Issuer |
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1447495932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 6225 (Colorado) | Primary |
261QR0400X | Clinic/center - Rehabilitation | 6225 (Colorado) | Secondary |
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