Organization
LANE CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE R LANE D.C. (PRESIDENT)
(815) 568-8411
Entity
Organization
Contact information
Practice address
401 PARK DR, MARENGO, IL 60152-2903
(815) 568-8411
(815) 568-6252
Mailing address
401 PARK DR, MARENGO, IL 60152-2903
(815) 568-8411
(815) 568-6252
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-007697
IL
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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