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Organization
JOHNSON COUNTY CHIROPRACTIC, INC.
Active
Organization
JOHNSON COUNTY CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS HOWARD CARLSON DC (DOCTOR OF CHIROPRACTIC)
(319) 665-2550
Entity
Organization
Contact information
Practice address
4 HAWKEYE DR, STE. 102/103, NORTH LIBERTY, IA 52317-9038
(319) 665-2550
(319) 665-2540
Mailing address
4 HAWKEYE DR, STE. 102/103, NORTH LIBERTY, IA 52317-9038
(319) 665-2550
(319) 665-2540
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007100
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629229711
BCBS
IA
05
—
1629229711
—
IA
Enumeration date
03/02/2009
Last updated
05/08/2009
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