# LAGRANGE WELLNESS CHIROPRACTOC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760525067
- **Authorized official:** CARA CONDER (BILLING MANAGER)
- **Authorized official phone:** (812) 330-0909

## Contact information

- **Practice address:** 2005 S HIGHWAY 53 STE C, LAGRANGE, KY 40031-9109
- **Practice address phone:** (812) 330-0909
- **Practice address fax:** (812) 330-0099
- **Mailing address:** PO BOX 457, LAGRANGE, KY 40031-0457
- **Mailing address phone:** (812) 330-0909
- **Mailing address fax:** (812) 330-0099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 08/22/2020