Individual
DR. LEE A. DITSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
19 AVENUE C WEST, LAKE PARK, IA 51347-0448
(712) 832-3118
Mailing address
19 AVENUE C WEST, PO BOX 448, LAKE PARK, IA 51347-0448
(712) 832-3118
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A5598
IA
Other
Enumeration date
10/13/2006
Last updated
11/29/2010
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