Organization
SHEPHERDSVILLE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R LUTZ D.C. (OWNER)
(502) 543-2225
Entity
Organization
Contact information
Practice address
149 HIGHWAY 44 E, SHEPHERDSVILLE, KY 40165-6001
(502) 543-2225
(502) 921-4528
Mailing address
149 HIGHWAY 44 E, SHEPHERDSVILLE, KY 40165-6001
(502) 543-2225
(502) 921-4528
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4667
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2734879000
PASSPORT ADVANTAGE
KY
01
—
50011058
PASSPORT
KY
05
—
85002319
—
KY
01
—
DG3127
PALMETTO RAILROAD MEDICARE
KY
Enumeration date
07/11/2006
Last updated
08/24/2011
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