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Michael Shane Lundergan, DC
Chiropractor in Madison, Indiana
NPI 1386758605

Michael Shane Lundergan is a Chiropractor based in Madison, IN. Michael Shane Lundergan practices in Madison, IN and has the professional credentials of DC. The NPI Number for Michael Shane Lundergan is 1386758605 and holds a License No. 08001796 (Indiana).

The current practice location address for Michael Shane Lundergan is 110 Holt Dr, Madison, IN and can be reached out via phone at 812-265-6141 and via fax at 812-265-6318.

Location: 110 Holt Dr, Madison, IN, 47250-1670
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386758605
Provider Name
Michael Shane Lundergan
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
110 Holt Dr, Madison, IN, 47250-1670
Phone Number
812-265-6141
Fax Number
812-265-6318
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5462620 01 IN AETNA PROVIDER ID
000000210324 01 IN ANTHEM PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
110 Holt Dr
City
Madison
State
Indiana
Zip
47250-1670
Phone Number
812-265-6141
Fax Number
812-265-6318
person
Provider Business Mailing Address Details
Address
110 Holt Dr
City
Madison
State
Indiana
Zip
47250-1670
Phone Number
812-265-6141
Fax Number
812-265-6318
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
08001796 (Indiana)
Definition
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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