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Individual

DR. LANCE P AUDIRSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
1239 HIGHWAY 49, STE B, WEST HELENA, AR 72390-7239
(870) 572-1500
(870) 572-7080
Mailing address
1239 HIGHWAY 49, STE B, WEST HELENA, AR 72390-2440
(870) 572-1500
(870) 572-7080

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1257
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128692718
AR
01
59878
BLUECROSS BLUESHIELD
AR
Enumeration date
12/19/2005
Last updated
09/23/2022
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