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Individual

DR. LANCE H WITTWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2200 E PARRISH AVE, LL103 BLDGC, OWENSBORO, KY 42303-1449
(270) 485-3772
(270) 852-1631
Mailing address
2200 E PARRISH AVE, LL103 BLDGC, OWENSBORO, KY 42303-1449
(270) 485-3772
(270) 852-1631

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4732
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000037077
ANTHEM PIN NUMBER
KY
05
85003820
KY
Enumeration date
01/05/2007
Last updated
04/30/2008
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