Organization
TWIN LAKES CHIROPRACTIC CLINIC
Active
Parent organization
TWIN LAKES CHIROPRACTIC CLINIC
Other names
Twin Lakes Chiropractic and Rehab
Organization subpart
Yes
Provider details
NPI number
Legal business name
TWIN LAKES CHIROPRACTIC CLINIC
Authorized official
DR. MARK LUDEAN UNGERANK DC (OWNER)
(870) 431-8900
Entity
Organization
Contact information
Practice address
4898 HIGHWAY 178 WEST, LAKEVIEW, AR 72642
(870) 431-8900
(870) 431-8810
Mailing address
PO BOX 148, LAKEVIEW, AR 72642-0148
(870) 431-8900
(870) 431-8810
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
904
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101032718
—
AR
01
—
DC2383
RAILROAD MEDICARE PIN
AR
Enumeration date
11/08/2006
Last updated
07/14/2008
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