Individual
DR. LANCE WILLARD KIRCHMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
637 MAIN ST, LUXEMBURG, WI 54217-1125
(920) 845-5654
(920) 845-5640
Mailing address
637 MAIN ST, P.O. BOX 236, LUXEMBURG, WI 54217-1125
(920) 845-5654
(920) 845-5640
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2288
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38833600
—
WI
01
—
391598224015
BLUE CROSS BLUE SHIELD
WI
Enumeration date
03/31/2006
Last updated
07/09/2007
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