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Individual
DR. LANCE ERIC MALMSTROM
Active
Individual
DR. LANCE ERIC MALMSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
01-03498
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017503
BCBS
KS
05
—
100095140A
—
KS
01
—
350011260
RR MEDICARE
KS
Enumeration date
10/03/2006
Last updated
07/30/2012
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