Organization
LUNDIUS FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT T LUNDIUS DC (DOCTOR OWNER)
(765) 662-0395
Entity
Organization
Contact information
Practice address
1114 N WESTERN AVE, MARION, IN 46952
(765) 662-0395
(765) 662-0396
Mailing address
PO BOX 402, 1114 N WESTERN, MARION, IN 46952
(765) 662-0395
(765) 662-0396
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08001730A
IN
111N00000X
Chiropractor
Primary
0800619A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000101890
BCBS
IN
Enumeration date
11/29/2006
Last updated
12/14/2007
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