Organization
EASTLAND CHIROPRACTIC PSC
Active
Other names
Dawson Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LUCI HORN (OFFICE MANAGER)
(859) 255-3777
Entity
Organization
Contact information
Practice address
2305 WOODHILL DR, LEXINGTON, KY 40509-1023
(859) 255-3777
(859) 255-3967
Mailing address
2305 WOODHILL DR, LEXINGTON, KY 40509-1023
(859) 255-3777
(859) 255-3967
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4907
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000369118
ANTHEM PROVIDER ID
KY
05
—
85003457
—
KY
01
—
CHA
1221614
KY
Enumeration date
03/30/2007
Last updated
02/28/2013
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