Larry Fredric Radke, D.C.

Chiropractor · Lake City, FL

Individual Active NPI

NPI number 1649481052

Practice location

430 SW Columbia Ave
Lake City, FL 32025-5254
Phone
(386) 752-2252
Fax
(386) 754-5088

Open in Google Maps

NPI record

NPI
1649481052
Entity type
Individual (Type 1)
Enumeration date
May 25, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X CH0002067 FL

About Dr. Radke

Larry Fredric Radke, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 430 SW Columbia Ave, Lake City, FL 32025-5254. The NPI number 1649481052 was assigned on May 25, 2007 and the record was last updated on July 8, 2007.

Dr. Radke lists a license in the registry: #CH0002067 (FL) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Larry Fredric Radke, D.C.?

The NPI number is 1649481052.

What is the phone number of Dr. Radke?

The phone number listed for the practice location is (386) 752-2252.

Where is Dr. Radke located?

430 SW Columbia Ave, Lake City, FL 32025-5254.

What is the taxonomy code for Dr. Radke?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Chiropractor providers in Lake City

All Chiropractor providers in Lake City, FL →