Individual provider · Type 1 NPI
Lynn Russell Lidell, DC
Chiropractor · Georgetown, TX
NPI number
1922008127
Active
Practice location
2913 Williams Dr, Ste 210
Georgetown, TX 78628-2739
Fax (512) 868-5977
Mailing address
PO Box 503
Hutto, TX 78634-0503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 7995 (TX) |
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 1922008127
Lynn Russell Lidell, DC's National Provider Identifier is 1922008127, issued on Jul 28, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Georgetown, TX. The record was last updated on Oct 31, 2016.