Lyndonville Family Chiropractic, Inc. | |
11 Hill St, Lyndonville, VT 05851-8911 | |
(802) 626-5866 | |
(802) 626-0980 |
Full Name | Lyndonville Family Chiropractic, Inc. |
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Type | Facility |
Speciality | Chiropractor |
Location | 11 Hill St, Lyndonville, Vermont |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1326254657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 006-0001143 (Vermont) | Primary |
Provider Name | Karson Ellsworth Clark |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1942326822 PECOS PAC ID: 5698737252 Enrollment ID: I20041027000568 |
Provider Name | Teri R Dodge |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1770742942 PECOS PAC ID: 6709940380 Enrollment ID: I20090126000687 |
Provider Name | Stacey Ann Clark |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1699891580 PECOS PAC ID: 4183688815 Enrollment ID: I20121204000007 |
Mailing Address | Practice Location Address |
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Lyndonville Family Chiropractic, Inc. 11 Hill St, Lyndonville, VT 05851-8911 Ph: (802) 626-5866 | Lyndonville Family Chiropractic, Inc. 11 Hill St, Lyndonville, VT 05851-8911 Ph: (802) 626-5866 |
Dr. Stacey Ann Clark, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 11 Hill St, Lyndonville, VT 05851 Phone: 802-626-5866 Fax: 802-626-0980 | |
Dr. Karson Ellsworth Clark Jr., D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 11 Hill St, Lyndonville, VT 05851 Phone: 802-626-5866 Fax: 802-626-0980 |