| Swan Lake Chiropractic | |
|
724 Pearl St, Boulder, CO 80302-5006 | |
| (303) 449-3103 | |
| (303) 402-1095 |
| Full Name | Swan Lake Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 724 Pearl St, Boulder, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740351055 | NPI | - | NPPES |
| 647681 | Other | CO | BCBS CLNIC PROVIDER NO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Virginia S Lawrence |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811068125 PECOS PAC ID: 2769438191 Enrollment ID: I20050329000345 |
| Provider Name | Tamara L Bohren |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700595055 PECOS PAC ID: 6103286026 Enrollment ID: I20230724001931 |
| Mailing Address | Practice Location Address |
|---|---|
| Swan Lake Chiropractic 724 Pearl St, Boulder, CO 80302-5006 Ph: (303) 449-3103 | Swan Lake Chiropractic 724 Pearl St, Boulder, CO 80302-5006 Ph: (303) 449-3103 |
Dr. Alison Bremner, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4880 Riverbend Rd, Boulder, CO 80301 Phone: 303-442-5911 | |
Dr. Jack Zellner, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1310 Alpine Ave, Boulder, CO 80304 Phone: 303-444-7524 Fax: 303-444-2464 | |
Mr. Mark E Graycar, D.C., D.N.F.T. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3014 Bluff St, Suite 100, Boulder, CO 80301 Phone: 720-406-9447 Fax: 303-974-1133 | |
Canyon Chiropractic Center Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 2595 Canyon Blvd, Ste 240, Boulder, CO 80302 Phone: 303-402-1300 Fax: 303-402-1310 | |
Dr. Fiona Hebron Lovely, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 350 Broadway St, Suite 102, Boulder, CO 80305 Phone: 303-499-4500 Fax: 303-494-4982 | |
Dr. Mary Testarmata, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2821 Lee Hill Dr, Boulder, CO 80302 Phone: 303-444-0422 | |
Boulder Chiropractic Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 2305 Broadway St, Boulder, CO 80304 Phone: 720-445-6709 |