Organization
LANDER SPORT & HEALTH SCIENCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA LANDER DC, MS (MEMBER)
(203) 226-2366
Entity
Organization
Contact information
Practice address
125 KINGS HWY N, WESTPORT, CT 06880-2428
(203) 226-2366
Mailing address
125 KINGS HWY N, WESTPORT, CT 06880-2428
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
001472
CT
171100000X
Acupuncturist
000254
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050001472CT01
BLUE CROSS BLUE SHIELD
CT
Enumeration date
08/28/2013
Last updated
08/28/2013
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