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Individual

LEE B WALDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
306 N MAIN ST, HUNTINGBURG, IN 47542-1345
(812) 683-2456
(812) 683-5019
Mailing address
306 N MAIN ST, HUNTINGBURG, IN 47542-1345
(812) 683-2456
(812) 683-5019

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000498A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000218489
ANTHEM
05
100241970A
IN
Enumeration date
10/27/2006
Last updated
07/08/2007
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