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Individual
DR. LUCAS JOE BALLENGER
Active
Individual
DR. LUCAS JOE BALLENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007278
IA
111NN1001X
Nutrition Chiropractor
007278
IA
111NS0005X
Sports Physician Chiropractor
007278
IA
Other
Enumeration date
03/19/2010
Last updated
04/09/2018
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