Most Relevant Information
Provider Data
| NPI Number: | 1003212465 |
| Provider Name: | JACK LUNDBOHM D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 3427 |
Most Important Dates
| Enumeration Date: | 11/13/2014 |
| Last Updated: | 05/02/2017 |
Provider Practice Location
39 6TH ST W UNIT B
COLUMBIA FALLS
MT
599123602
Practice Location Phone/Fax
| Phone: | 4068975505 |
| Fax: | 4068629750 |
Provider Mailing Location
39 6TH ST W UNIT B
COLUMBIA FALLS
MT
599123602
Provider Mailing Phone/Fax
| Phone: | 4068975505 |
| Fax: | 4068629750 |