Individual
CORY SHANE LINDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5216 E. CLEVELAND BLVD, STE G, CALDWELL, ID 83607
(208) 454-5500
(208) 454-8877
Mailing address
5216 E. CLEVELAND BLVD., STE G, CALDWELL, ID 83607
(208) 454-5500
(208) 454-8877
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1335
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808502300
—
ID
Enumeration date
12/16/2008
Last updated
04/06/2010
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