Organization
REVITALIZE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY LUBKEMAN (OWNER)
(515) 964-2577
Entity
Organization
Contact information
Practice address
502 N ANKENY BLVD, SUITE 5, ANKENY, IA 50023-1755
(515) 964-2577
Mailing address
502 N ANKENY BLVD, SUITE 5, ANKENY, IA 50023-1755
(515) 964-2577
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06104
IA
Other
Enumeration date
02/15/2006
Last updated
08/22/2020
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