Individual
DR. LYNNE RENEA HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
212 W EDISON RD, SE B, MISHAWAKA, IN 46545-8301
(574) 254-1400
Mailing address
212 W EDISON RD, SE B, MISHAWAKA, IN 46545-8301
(574) 254-1400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002001A
IN
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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