NPI 1386758605

Michael Shane Lundergan, DC

Practitioner Chiropractor Madison, IN

Practice location

Address: 110 Holt Dr, Madison, IN 47250-1670
Phone: (812) 265-6141
Fax: (812) 265-6318

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 08001796 (IN)

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Registry record

NPI: 1386758605
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.