Individual
KEVIN THOMAS LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1219 W SPRESSER ST, TAYLORVILLE, IL 62568-1714
(217) 287-1040
(217) 287-1048
Mailing address
1219 W SPRESSER ST, TAYLORVILLE, IL 62568-1714
(217) 287-1040
(217) 287-1048
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010961
IL
Other
Enumeration date
07/26/2007
Last updated
12/21/2010
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