Individual
LISA EASTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
418 HOUSTON ST, MANHATTAN, KS 66502-6136
(785) 341-6783
Mailing address
PO BOX 1704, MANHATTAN, KS 66505-1704
(785) 341-6783
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04381
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055934
BCBS
KS
Enumeration date
02/01/2007
Last updated
07/08/2007
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