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LORI BRADSHAW D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1184035008

Individual Registrant:
 LORI  BRADSHAW D.C.
Gender: F
Sole Proprietor

Location and contact information for practice:
20333 WILDER AVE  LAKEWOOD, CA 90715-1934 US
Tel: 310-291-9025  Fax: --

Contact information for business:
20333 WILDER AVE  LAKEWOOD, CA 90715-1934 US
Tel: 310-291-9025  Fax: --

Registration Information:
NPI: 1184035008
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CADC 29163

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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