Organization
LONNIE L EDWARDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE L EDWARDS DC (CHIROPRACTOR/OWNER)
(812) 385-2233
Entity
Organization
Contact information
Practice address
1288N STATE RD 65, PRINCETON, IN 47670-9515
(812) 385-2233
Mailing address
1288N STATE RD 65, PRINCETON, IN 47670-9515
(812) 385-2233
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000583A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084813
BC /BS
IN
05
—
100122110A
—
IN
01
—
350040333
RAILROAD MEDICARE
IN
Enumeration date
07/02/2008
Last updated
07/02/2008
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