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LORI BRADSHAW D.C.
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1184035008
Individual Registrant: LORI BRADSHAW D.C.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
20333 WILDER AVE LAKEWOOD, CA 90715-1934 US
Tel: 310-291-9025 Fax: --
Tel: 310-291-9025 Fax: --
Contact information for business:
20333 WILDER AVE LAKEWOOD, CA 90715-1934 US
Tel: 310-291-9025 Fax: --
Tel: 310-291-9025 Fax: --
Registration Information:
NPI: 1184035008
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | CA | DC 29163 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
