Organization
LOCKLEAR CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR R LOCKLEAR (PRESIDENT)
(502) 804-3344
Entity
Organization
Contact information
Practice address
8600 PRESTON HWY STE 100, LOUISVILLE, KY 40219-5306
(502) 804-3344
Mailing address
8600 PRESTON HWY STE 100, LOUISVILLE, KY 40219-5306
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5367
KY
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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