MEDICARE: DR. KAREN LINDBLAD 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	111NN0400X	Neurology Chiropractor	CH 7569	FL

General Provider Information

NPI Number	:	1811940455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN LINDBLAD DC

Provider Business Mailing Address
First Line	:	737 S MISSOURI AVE
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33815-4737
Country	:	US
Telephone Number	:	863-680-1064
Fax Number	:	863-680-1734

Provider Business Practice Location Address
First Line	:	737 S MISSOURI AVE
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33815-4737
Country	:	US
Telephone Number	:	863-680-1064
Fax Number	:	863-680-1734

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/08/2007

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