Individual
LANCE E VANDERLOO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3731 KIMBALL AVE, WATERLOO, IA 50702-5728
(319) 232-1143
(319) 232-3279
Mailing address
3608 INVERNESS RD, WATERLOO, IA 50701-4636
(319) 232-7650
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04432
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0032300
—
IA
Enumeration date
08/09/2005
Last updated
07/08/2007
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