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DR. HEATHER T LUNDEEN DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1265425680

Individual Registrant:
DR. HEATHER T LUNDEEN DC
Gender: F
Sole Proprietor

Location and contact information for practice:
127 N DIVISION ST  WOODHULL, IL 61490-5135 US
Tel: 309-334-2274  Fax: --

Contact information for business:
PO BOX 426  WOODHULL, IL 61490-0426 US
Tel: 309-334-2274  Fax: 309-334-2465

Registration Information:
NPI: 1265425680
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
IL038009519

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD03732005IL01




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