Doctor Name: | LISA M QUALLS |
NPI Number: | 1932409091 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 0104556823 |
Business Practice Address: | 222 W 21st St Suite E Norfolk, VA - 235172200 |
Business Phone Number: | 3212995310 |
Business Fax Number: | |
Mailing Address: | 314 N Shore Rd, Apt A NORFOLK |
State: | VA |
Postal Code: | 235053425 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/23/2010 |
NPI Last Update Date: | 10/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 0104556823 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |