Stephanie Lurate, DC | |
4987 Olde Mill Dr, Marietta, GA 30066-1168 | |
(336) 880-0638 | |
Not Available |
Full Name | Stephanie Lurate |
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Gender | Female |
Speciality | Chiropractor |
Location | 4987 Olde Mill Dr, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568839546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR009543 (Georgia) | Primary |
Provider Name | Little River Family Chiropractic, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558092346 PECOS PAC ID: 3375910086 Enrollment ID: O20230403001720 |
Mailing Address | Practice Location Address |
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Stephanie Lurate, DC 4987 Olde Mill Dr, Marietta, GA 30066-1168 Ph: () - | Stephanie Lurate, DC 4987 Olde Mill Dr, Marietta, GA 30066-1168 Ph: (336) 880-0638 |
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