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Individual

DR. LANE M LUXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
105 5TH ST, #205, LYNDEN, WA 98264-1966
(360) 318-0123
(360) 318-0424
Mailing address
PO BOX 388, LYNDEN, WA 98264-0388
(360) 318-0123
(360) 318-0424

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
17996
CA
111N00000X
Chiropractor
Primary
CH00002166
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
117269
LABOR & INDUSTRIES
WA
Enumeration date
10/31/2006
Last updated
03/02/2012
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