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Organization
APEX SPINE CLINIC LLC
Active
Organization
APEX SPINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE LEE WEIDNER DC (OWNER/SOLE MEMBER)
(719) 590-7700
Entity
Organization
Contact information
Practice address
7730 N UNION BLVD STE 105, COLORADO SPRINGS, CO 80920-4075
(719) 590-7700
Mailing address
PO BOX 62897, COLORADO SPRINGS, CO 80962-2897
(719) 590-7700
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
4419
CO
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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