Individual
MR. LANCE EUGENE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
612 S MAIN ST, CARTHAGE, MO 64836-1649
(417) 358-3201
(417) 358-4677
Mailing address
612 S MAIN ST, CARTHAGE, MO 64836-1649
(417) 358-3201
(417) 358-4677
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005639
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15148
BCBS
MO
01
—
168267
HEALTHLINK
MO
01
—
4038239
HEALTHMARKET
PA
05
—
758573406
—
MO
01
—
8851
COX HEALTH SYSTEMS
MO
Enumeration date
08/16/2005
Last updated
07/09/2010
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