Individual
BRENT LANE LINDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
297 RICHMOND AVE, OTTUMWA, IA 52501
(641) 682-8301
(641) 682-8301
Mailing address
297 RICHMOND AVE, OTTUMWA, IA 52501
(641) 682-8301
(641) 682-8301
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05930
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139899
—
IA
Enumeration date
04/17/2006
Last updated
07/12/2010
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