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Organization
LYKENS CHIROPRACTIC, INC
Active
Organization
LYKENS CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONDA N LYKENS DC (DOCTOR OF CHIROPRACTIC)
(540) 667-7388
Entity
Organization
Contact information
Practice address
650 CEDAR CREEK GRADE STE 207, WINCHESTER, VA 22601-6454
(540) 667-7388
(540) 667-4694
Mailing address
650 CEDAR CREEK GRADE STE 207, WINCHESTER, VA 22601-6454
(540) 667-7388
(540) 667-4694
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555911
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000300446
—
VA
01
—
1508815598
GROUP NPI
VA
01
—
1588662563
INDIV. PRACTITIONER NPI
VA
01
—
192109
BLUE CROSS BLUE SHIELD
VA
01
—
39606
OPTIMA/SENTARA
VA
Enumeration date
05/08/2006
Last updated
02/01/2018
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