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Organization

JOHNSON COUNTY CHIROPRACTIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUCAS HOWARD CARLSON DC (DOCTOR OF CHIROPRACTIC)
(319) 665-2550
Entity
Organization

Contact information

Practice address
4 HAWKEYE DR, STE. 102/103, NORTH LIBERTY, IA 52317-9038
(319) 665-2550
(319) 665-2540
Mailing address
4 HAWKEYE DR, STE. 102/103, NORTH LIBERTY, IA 52317-9038
(319) 665-2550
(319) 665-2540

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007100
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629229711
BCBS
IA
05
1629229711
IA
Enumeration date
03/02/2009
Last updated
05/08/2009
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