Individual
LINDSAY MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6121 STONEY CREEK DR, FORT WAYNE, IN 46825-4408
(260) 483-8001
Mailing address
6121 STONEY CREEK DR, FORT WAYNE, IN 46825-4408
(260) 483-8001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003026A
IN
111N00000X
Chiropractor
4402
OH
Other
Enumeration date
05/13/2018
Last updated
05/13/2018
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