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NPI Code Detail

MEDICARE: RANDALL CHIROPRACTIC AND WELLNESS, LLC

MEDICARE: RANDALL CHIROPRACTIC AND WELLNESS, LLC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1164318093
Entity Type Code : Organization
Provider Name (Legal Business Name) : RANDALL CHIROPRACTIC AND WELLNESS, LLC
Provider Business Mailing Address
First Line : 1082 CEDAR CROSS RD STE 1002
Second Line :
City : DUBUQUE
State : IA
Zip : 52003-7890
Country : US
Telephone Number : 563-581-1503
Fax Number :
Provider Business Practice Location Address
First Line : 1082 CEDAR CROSS RD STE 1002
Second Line :
City : DUBUQUE
State : IA
Zip : 52003-7890
Country : US
Telephone Number : 563-581-1503
Fax Number :
Authorized Official
Title or Position : CHIROPRACTOR/OWNER
Name : LYNN M RANDALL
Credential : DC
Telephone Number : 563-581-1503
Provider Enumeration Date : 06/16/2025
Last Update Date : 07/16/2025

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Directions to “RANDALL CHIROPRACTIC AND WELLNESS, LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.