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Individual
LANCE KROGH
Active
Individual
LANCE KROGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10915
TX
111NP0017X
Pediatric Chiropractor
10915
TX
Other
Enumeration date
03/26/2009
Last updated
03/14/2011
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