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Individual

DR. DOUGLAS J. LECY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1406 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-4582
(605) 343-7440
(605) 342-7868
Mailing address
1406 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-4582
(605) 343-7440
(605) 342-7868

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1068
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0100784
BLUE CROSS BLUE SHIELD
SD
05
7601990
SD
Enumeration date
06/18/2006
Last updated
08/19/2021
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