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Individual

DR. LUCIUS LIDELLE HARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
55 MOUSE CREEK RD NW, CLEVELAND, TN 37312-4840
(423) 478-8989
(423) 478-8992
Mailing address
55 MOUSE CREEK RD NW, CLEVELAND, TN 37312-4840
(423) 478-8989
(423) 478-8992

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1514
TN
111N00000X
Chiropractor
2646
GA

Other

Enumeration date
06/28/2007
Last updated
11/27/2012
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