Individual
DR. G. LYMAN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., F.A.C.O.
Contact information
Practice address
17 MOTIF BLVD, BROWNSBURG, IN 46112-1017
(317) 852-3870
(317) 852-7417
Mailing address
25 REDWOOD CT, BROWNSBURG, IN 46112-1947
(317) 852-5850
(317) 852-7417
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
08001024
IN
111NX0800X
Orthopedic Chiropractor
08001024
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100133640
—
IN
Enumeration date
10/13/2006
Last updated
12/04/2007
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