Individual
LUCAS HOWARD CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2411 2ND ST, STE. 1, CORALVILLE, IA 52241-1500
(319) 337-2335
(319) 337-2353
Mailing address
2411 2ND ST, STE. 1, CORALVILLE, IA 52241-1500
(319) 337-2335
(319) 337-2353
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007100
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629229711
BCBS
IA
05
—
1629229711
—
IA
Enumeration date
10/07/2008
Last updated
01/06/2010
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