Most Relevant Information
Provider Data
| NPI Number: | 1003817305 |
| Provider Name: | LANCE E VANDERLOO D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 04432 |
Most Important Dates
| Enumeration Date: | 08/09/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3731 KIMBALL AVE
WATERLOO
IA
507025728
Practice Location Phone/Fax
| Phone: | 3192321143 |
| Fax: | 3192323279 |
Provider Mailing Location
3608 INVERNESS RD
WATERLOO
IA
507014636
Provider Mailing Phone/Fax
| Phone: | 3192327650 |
| Fax: |