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Organization
TIGUE CHIROPRACTIC INC
Active
Organization
TIGUE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNNITA MARIE TIGUE DC (OWNER PRESIDENT)
(570) 226-6299
Entity
Organization
Contact information
Practice address
662 ROUTE 739 STE 2, LORDS VALLEY, PA 18428-6085
(570) 775-6205
(570) 775-6205
Mailing address
662 ROUTE 739 STE 2, LORDS VALLEY, PA 18428-6085
(570) 775-6205
(570) 775-6205
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008740
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001640258
BLUE SHIELD
PA
05
—
1012312930001
—
PA
01
—
818418
FIRST PRIORITY
PA
Enumeration date
11/21/2006
Last updated
03/28/2018
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