Individual
DR. JOHN EDWARD LODRIGUE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
920 W KEISER AVE, OSCEOLA, AR 72370-2912
(870) 563-3188
(870) 563-5598
Mailing address
920 W KEISER AVE, OSCEOLA, AR 72370-2912
(870) 563-3188
(870) 563-5598
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1232
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59753
ARK BLUE CROSS PROV NUMBE
AR
Enumeration date
03/28/2006
Last updated
07/08/2007
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