Individual
LANCE LEE WEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7730 N UNION BLVD STE 105, COLORADO SPRINGS, CO 80920-4075
(719) 590-7700
Mailing address
PO BOX 62897, COLORADO SPRINGS, CO 80962-2897
(719) 590-7700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4419
CO
111NX0100X
Occupational Health Chiropractor
Primary
4419
CO
Other
Enumeration date
01/15/2007
Last updated
10/12/2009
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