Individual
DR. LEA R KOONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4510 CHARLESTOWN RD STE 700, NEW ALBANY, IN 47150-8517
(812) 944-4455
(812) 944-4457
Mailing address
4510 CHARLESTOWN RD STE 700, NEW ALBANY, IN 47150-8517
(812) 944-4455
(812) 944-4457
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001862A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383006
ANTHEM BCBS
IN
Enumeration date
09/01/2006
Last updated
08/13/2013
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