Provider Demographics
NPI:1124267943
Name:ART AND SCIENCE CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:ART AND SCIENCE CHIROPRACTIC CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-487-2074
Mailing Address - Street 1:PO BOX 1709
Mailing Address - Street 2:
Mailing Address - City:VERADALE
Mailing Address - State:WA
Mailing Address - Zip Code:99037-1709
Mailing Address - Country:US
Mailing Address - Phone:509-487-2074
Mailing Address - Fax:208-686-5238
Practice Address - Street 1:8606 N WALL ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-2034
Practice Address - Country:US
Practice Address - Phone:509-487-2074
Practice Address - Fax:208-686-5238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60058655111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty