Individual
DR. LANCE M. CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4101 JOHN DEERE RD, STE 2, MOLINE, IL 61265-6790
(309) 581-2999
(309) 581-2998
Mailing address
4101 JOHN DEERE RD, STE 2, MOLINE, IL 61265-6790
(309) 581-2999
(309) 581-2998
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009440
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05732010
BCBS ID
—
01
—
071639
HEALTH ALLIANCE ID
—
Enumeration date
08/14/2006
Last updated
01/09/2020
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