Provider Demographics
NPI:1356078216
Name:HILTON, LANCE (DC)
Entity type:Individual
Prefix:
First Name:LANCE
Middle Name:
Last Name:HILTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4056 ARBOR LN STE 100
Mailing Address - Street 2:
Mailing Address - City:NEW PALESTINE
Mailing Address - State:IN
Mailing Address - Zip Code:46163-8644
Mailing Address - Country:US
Mailing Address - Phone:317-861-4300
Mailing Address - Fax:317-861-6652
Practice Address - Street 1:4056 ARBOR LN STE 100
Practice Address - Street 2:
Practice Address - City:NEW PALESTINE
Practice Address - State:IN
Practice Address - Zip Code:46163-8644
Practice Address - Country:US
Practice Address - Phone:317-861-4300
Practice Address - Fax:317-861-6652
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08003329A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor