Individual provider · Type 1 NPI
Nicole L. Lackner, DC
Chiropractor · Peoria, IL
NPI number
1710097530
Active
Practice location
7800 N Sommer St, Suite 305
Peoria, IL 61615
Fax (309) 689-5447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
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.
2 other providers at this address
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About NPI 1710097530
Nicole L. Lackner, DC's National Provider Identifier is 1710097530, issued on Aug 30, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.