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Organization
LANCE E MALMSTROM DC, PA
Active
Organization
LANCE E MALMSTROM DC, PA
Active
Other names
Malmstrom Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE ERIC MALMSTROM DC (PRESIDENT)
(785) 235-1131
Entity
Organization
Contact information
Practice address
1520 SW TOPEKA AVE., TOPEKA, KS 66612
(785) 235-1131
(785) 235-3771
Mailing address
1520 SW TOPEKA AVE., TOPEKA, KS 66612
(785) 235-1131
(785) 235-3771
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
01-03498
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017503
BLUE CROSS & BLUE SHIELD
KS
Enumeration date
10/02/2006
Last updated
08/22/2020
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