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Individual

LISA K ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
9970 E 750 N, WALKERTON, IN 46574
(574) 586-7816
(574) 586-7814
Mailing address
9970 E 750 N, WALKERTON, IN 46574
(574) 586-7816
(574) 586-7814

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001929A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000274120
ANTHEM
IN
Enumeration date
05/01/2007
Last updated
07/08/2007
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