Lydy Chiropractic, Inc.

NPI #1073792628 in Crestline, Ohio

Provider Information

NPI Number: 1073792628
Entity Type: Organization
Organization Name: Lydy Chiropractic, Inc.
Primary Specialty: Chiropractor
Enumeration Date: Oct 31, 2007
Last Updated: Oct 31, 2007

Practice Location

Address: 1329 COUNTY LINE RD
City: Crestline
State: Ohio
ZIP Code: 44827-1217
Phone: (419) 683-1298

Authorized Official

Name: DR. MIKEL DEAN LYDY, DC
Title: EXECUTOR
Phone: (419) 683-1298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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