Individual
MARYANN E. LUXEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC OF CHIROPRACTIC
Contact information
Practice address
116 N NORWOOD ST, WALLACE, NC 28466-2730
(910) 285-7222
(910) 285-7229
Mailing address
116 N NORWOOD ST, WALLACE, NC 28466-2730
(910) 285-7222
(910) 285-7229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009525
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HIGHMARK
PA BLUES
PA
Enumeration date
03/01/2006
Last updated
07/09/2007
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