MEDICARE: CHELSEY LYNN LUEKEN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	08002881A	IN

General Provider Information

NPI Number	:	1447617683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEY LYNN LUEKEN DC

Provider Business Mailing Address
First Line	:	PO BOX 88
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47902-0088
Country	:	US
Telephone Number	:	432-288-3540
Fax Number	:

Provider Business Practice Location Address
First Line	:	2606 VETERANS MEMORIAL PKWY S STE 1
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47909-9192
Country	:	US
Telephone Number	:	432-288-3540
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2016
Last Update Date	:	07/21/2022

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Directions to “ CHELSEY LYNN LUEKEN DC” Practice Location

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