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Search › Missouri › 111N00000X

Jacob Lewallen, DC

NPI 1710500061 · on the registry since 2020

Practice

Address
714 State Highway 248 Ste 503
Branson, MO 65616
Phone
(417) 872-7728
Organisation at this address
Fully Known Chiropractic
Branson Pediatric Dental Llc
Douthard Physical Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri