Organization
CLARK D LUNDGREN DC LLC
Active
Other names
Lundgren Chiropractic & Wellness Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK D LUNDGREN (MEMBER)
(406) 827-5500
Entity
Organization
Contact information
Practice address
2401 MAIN STREET EAST, SUITE A, THOMPSON FALLS, MT 59873-2401
(406) 827-5500
(406) 827-1986
Mailing address
PO BOX 2084, THOMPSON FALLS, MT 59873-2084
(406) 827-5500
(406) 827-1986
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41726
BLUE CROSS AND BLUE SHIELD OF MONTANA
MT
Enumeration date
01/04/2019
Last updated
02/15/2019
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