Individual
DR. LAWRENCE R MIKKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8131 US HIGHWAY 42, FLORENCE, KY 41042-9634
(859) 525-7117
(859) 282-3343
Mailing address
8131 US HIGHWAY 42, P O BOX 547, FLORENCE, KY 41042-9634
(859) 525-7117
(859) 282-3343
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4396
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85002756
—
KY
Enumeration date
06/28/2005
Last updated
11/27/2007
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