Individual provider · Type 1 NPI

Larry Fredric Radke, DC

Chiropractor · Lake City, FL

NPI number 1649481052 Active

Practice location

430 SW Columbia Ave
Lake City, FL 32025-5254

Call (386) 752-2252 Map

Fax (386) 754-5088

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH0002067 (FL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1649481052

Larry Fredric Radke, DC's National Provider Identifier is 1649481052, issued on May 25, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lake City, FL. The record was last updated on Jul 8, 2007.