Individual
DR. LYNN T POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8500 BROADWAY, SUITE A, MERRILLVILLE, IN 46410-7055
(219) 738-1925
Mailing address
8500 BROADWAY, SUITE A, MERRILLVILLE, IN 46410-7055
(219) 738-1925
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001720A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093263
BLUE CROSS/BLUE SHIELD
IN
05
—
20016660A
—
IN
01
—
606174
ACN
IN
01
—
7354080
AETNA
IN
Enumeration date
08/31/2006
Last updated
07/08/2007
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