Organization
CHIROPRACTIC HEALTH CENTER OF LEBANON PLLC
Active
Other names
Chiropractic Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
TOSHA MCCORMACK (COMPLIANCE OFFICER)
(859) 408-5440
Entity
Organization
Contact information
Practice address
308 N DEPOT ST, LEBANON, KY 40033-1422
(270) 692-2652
(270) 692-6099
Mailing address
308 N DEPOT ST, LEBANON, KY 40033-1422
(270) 692-2652
(270) 692-6099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100227840
—
KY
Enumeration date
12/15/2006
Last updated
10/06/2022
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