| Lundgren Chiropractic Center Llc | |
|
3301 Southern Blvd Se Ste 304 Rio Rancho NM 87124-2087 | |
| (505) 892-2222 | |
| (505) 892-1056 |
| Full Name | Lundgren Chiropractic Center Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 3301 Southern Blvd Se Ste 304, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Austin Lundgren (OWNER) |
| Authorized Official Contact | 5059173677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lundgren Chiropractic Center Llc 3301 Southern Blvd Se Ste 304 Rio Rancho NM 87124-2087 Ph: (505) 892-2222 | Lundgren Chiropractic Center Llc 3301 Southern Blvd Se Ste 304 Rio Rancho NM 87124-2087 Ph: (505) 892-2222 |
| NPI Number | 1275155475 |
|---|---|
| Provider Enumeration Date | 05/11/2020 |
| Last Update Date | 04/12/2025 |
| Medicare PECOS PAC ID | 0446660039 |
|---|---|
| Medicare Enrollment ID | O20201111000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275155475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Holly Michelle Tharp |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407450521 PECOS PAC ID: 0244641942 Enrollment ID: I20201202000679 |
| Provider Name | Austin Greg Lundgren |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508460627 PECOS PAC ID: 6800206491 Enrollment ID: I20201230002083 |
Westside Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1316 Jackie Rd Se Ste 900, Rio Rancho, NM 87124 Phone: 505-892-7518 Fax: 505-892-9092 | |
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Corazon Family Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2220 Grande Blvd Se, Suite A, Rio Rancho, NM 87124 Phone: 505-892-9800 Fax: 505-994-4524 | |
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