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DR. LEWIS WALTER FAILOR DC

Chiropractic Providers Chiropractor Neurology

Provider NPI: 1205869153

Provider Information:
DR. LEWIS WALTER FAILOR DC
Gender: M
Sole Proprietor

Practice Location:
1991 HYDE PARK ST SUITE 1 SARASOTA, FL 34239-3600 US
Tel: 941-954-3700  Fax: 941-954-3800

Business Mailing Address:
942 32ND ST  SARASOTA, FL 34234-5717 US
Tel: 727-519-5679  Fax: --

NPI Information:
NPI: 1205869153
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111NN0400XChiropractic Providers
Chiropractor
Neurology
FLCH6839

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD55208FL01



American Medical Association 2012 taxonomy code information

Code: 111NN0400X

Type:

Classification:



Definition:



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