Individual
DR. LANCE ERIC MALMSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1520 SW TOPEKA BLVD, TOPEKA, KS 66612-1851
(785) 235-1131
(785) 235-3771
Mailing address
1520 SW TOPEKA BLVD, TOPEKA, KS 66612-1851
(785) 235-1131
(636) 944-0514
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
01-03498
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017503
BCBS
KS
05
—
100095140A
—
KS
01
—
350011260
RR MEDICARE
KS
Enumeration date
10/03/2006
Last updated
07/30/2012
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