Individual
DR. LANE BUNKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
205 S MAIN ST STE A, LONGMONT, CO 80501-1714
(720) 598-5468
Mailing address
1613 GOLDEN BEAR DR, LONGMONT, CO 80504-7963
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2639
CO
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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