Organization
NICK LUNDBOHM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS JAY LUNDBOHM DC (PRESIDENT)
(877) 442-4476
Entity
Organization
Contact information
Practice address
N56W15560 SILVER SPRING DR., SUITE E EAST, MENOMONEE FALLS, WI 53051-6148
(877) 442-4476
Mailing address
N174W20044 CREEKSIDE DR, JACKSON, WI 53037-9108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/16/2022
Last updated
04/16/2022
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