Organization
ST. ANSGAR CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCAS LAVERNE NELSON DC (OWNER)
(641) 590-3077
Entity
Organization
Contact information
Practice address
706 E 4TH ST, SAINT ANSGAR, IA 50472-9571
(641) 713-3146
(641) 713-3149
Mailing address
PO BOX 128, 706 E 4TH STREET, SAINT ANSGAR, IA 50472-0128
(641) 713-3146
(641) 713-3149
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007554
IA
Other
Enumeration date
07/19/2012
Last updated
07/23/2012
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