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Individual

LANCE LAMAR TEACHWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
KANSAS HWY 14, WEBBER, KS 66970
(785) 875-3010
(785) 875-4746
Mailing address
PO BOX 213, SUPERIOR, NE 68978-0213
(402) 879-4583
(785) 875-4746

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04366
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
48072096801
NE
Enumeration date
10/06/2006
Last updated
02/09/2017
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