Individual
DR. LAURENCE DANIEL PREBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
102 W MADISON ST, LAGRANGE, KY 40031-1428
(502) 222-7611
Mailing address
102 W MADISON ST, LAGRANGE, KY 40031-1428
(502) 222-7611
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3668-R
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85001543
—
KY
Enumeration date
10/04/2006
Last updated
07/24/2013
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