Individual
JOHN LODICO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
215 N BLACK RIVER ST, SPARTA, WI 54656-1529
(608) 269-4511
(608) 269-8511
Mailing address
601 S 32ND AVE, WAUSAU, WI 54401-3958
(715) 848-2526
(715) 848-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2290-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38841100
—
WI
Enumeration date
05/16/2006
Last updated
12/26/2008
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