Individual
DR. LYNN IRENE BANDEROB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3250 10TH AVE, STE. 1, MARION, IA 52302-1507
(319) 377-1234
(319) 377-1930
Mailing address
3250 10TH AVE, STE. 1, MARION, IA 52302-1507
(319) 377-1234
(319) 377-1930
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06492
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0483743
—
IA
01
—
49109
WELLMARK BLUECROSS BLUESH
IA
Enumeration date
08/26/2005
Last updated
10/30/2015
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