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Organization

QUAD CITIES REGENERATIVE MEDICINE, LLC

Active
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Organization

QUAD CITIES REGENERATIVE MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LANCE M CARROLL DC (MANAGER)
(309) 502-9513
Entity
Organization

Contact information

Practice address
4101 JOHN DEERE RD STE 2, MOLINE, IL 61265-6790
(309) 581-2999
Mailing address
4101 JOHN DEERE RD STE 2, MOLINE, IL 61265-6790
(309) 581-2999

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
363L00000X
Nurse Practitioner
—
—

Other

Enumeration date
02/21/2020
Last updated
02/21/2020
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