Individual
LUCINDA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3901 E 3RD ST, BLOOMINGTON, IN 47401-5538
(812) 334-0082
(812) 334-1019
Mailing address
3901 E 3RD ST, BLOOMINGTON, IN 47401-5538
(812) 334-0082
(812) 334-1019
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IN08000604A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100183180A
—
IN
Enumeration date
06/12/2006
Last updated
03/25/2010
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