Individual
DR. LANCE EDWARD MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
403 HENSLEE DR, DICKSON, TN 37055-2166
(615) 740-8778
(615) 740-8578
Mailing address
403 HENSLEE DR, DICKSON, TN 37055-2166
(615) 740-8778
(615) 740-8578
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1392
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11213100
CAQH ID
—
01
—
1392
STATE LICENSE
TN
05
—
3089226
—
TN
Enumeration date
12/04/2006
Last updated
07/08/2007
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