Organization
LAKELAND SPINAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY D KOONTZ DC (PRESIDENT)
(574) 834-7855
Entity
Organization
Contact information
Practice address
118 S MAIN ST, NORTH WEBSTER, IN 46555
(574) 834-7855
(574) 834-7935
Mailing address
PO BOX 579, NORTH WEBSTER, IN 46555-0579
(574) 834-7855
(574) 834-7935
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001901A
IN
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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