Provider Demographics
NPI:1558590661
Name:ARNDT, LISA ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:ANNE
Last Name:ARNDT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3359 MIDDLE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-3402
Mailing Address - Country:US
Mailing Address - Phone:563-332-2211
Mailing Address - Fax:
Practice Address - Street 1:3359 MIDDLE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-3402
Practice Address - Country:US
Practice Address - Phone:563-332-2211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007097111N00000X
GACHIR008632111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor