Individual
LYDIA M MUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4195 MANNHEIM RD, JASPER, IN 47546-9625
(812) 634-6000
(812) 634-7001
Mailing address
4195 MANNHEIM RD, JASPER, IN 47546-9625
(812) 634-6000
(812) 634-7001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003115A
IN
Other
Enumeration date
09/10/2019
Last updated
11/05/2019
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