DR. Lance Shane Ingwersen, D.C

NPI #1295766822 in Salmon, Idaho

Provider Information

NPI Number: 1295766822
Entity Type: Individual
Name: DR. Lance Shane Ingwersen, D.C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C
Enumeration Date: Jul 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 104 S DAISY ST
Address 2: SUITE A
City: Salmon
State: Idaho
ZIP Code: 83467-4333
Phone: (208) 756-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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