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Individual
LYMAN CONNOLLY
Active
Individual
LYMAN CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC13989
CA
111NS0005X
Sports Physician Chiropractor
00
CO
111NS0005X
Sports Physician Chiropractor
DIPLOMATE
CO
146N00000X
Basic Emergency Medical Technician
E152026
CA
2255A2300X
Athletic Trainer
9855511-4810
UT
225700000X
Massage Therapist
DC13989
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC13989
CALIF BOARD OF CHIROPRACTIC
CA
Enumeration date
11/29/2006
Last updated
03/21/2025
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