| Brooke Alexandra Lonic, DC | |
|
7321 Tahiti Rd, Jacksonville, FL 32216-3281 | |
| (423) 834-2207 | |
| Not Available |
| Full Name | Brooke Alexandra Lonic |
|---|---|
| Gender | Female |
| Speciality | Chiropractic |
| Experience | 3 Years |
| Location | 7321 Tahiti Rd, Jacksonville, Florida |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366205981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5703 (North Carolina) | Primary |
| Provider Name | Revitalize Chiropractic LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508394396 PECOS PAC ID: 6305118472 Enrollment ID: O20170901000590 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Alexandra Lonic, DC 7321 Tahiti Rd, Jacksonville, FL 32216-3281 Ph: (423) 834-2207 | Brooke Alexandra Lonic, DC 7321 Tahiti Rd, Jacksonville, FL 32216-3281 Ph: (423) 834-2207 |
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