Individual
DR. TIM E LUSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3900 DAKOTA AVE, SUITE #6, SOUTH SIOUX CITY, NE 68776-3696
(402) 494-5173
(402) 494-5151
Mailing address
3900 DAKOTA AVE, SUITE #6, SOUTH SIOUX CITY, NE 68776-3696
(402) 494-5173
(402) 494-5151
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
753
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47071890200
—
NE
Enumeration date
01/19/2006
Last updated
07/09/2007
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