Organization
DR. LANCE AUDIRSCH PA
Active
Parent organization
DR. LANCE AUDIRSCH PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. LANCE AUDIRSCH PA
Authorized official
DR. LANCE AUDIRSCH DC (PRESIDENT)
(870) 572-1500
Entity
Organization
Contact information
Practice address
124 GARLAND AVE, WEST HELENA, AR 72390-2440
(870) 572-1500
(870) 572-7080
Mailing address
124 GARLAND AVE, WEST HELENA, AR 72390-2440
(870) 572-1500
(870) 572-7080
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1257
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128978718
—
AR
01
—
59878
BLUE CROSS BLUE SHIELD
AR
Enumeration date
05/08/2018
Last updated
05/08/2018
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