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Individual

LANCE LEE WEIDNER

Active
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Individual

LANCE LEE WEIDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4419
CO
111NX0100X
Occupational Health Chiropractor
Primary
4419
CO

Other

Enumeration date
01/15/2007
Last updated
10/12/2009
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