Jaclyn Lawfer, DC | |
1210 Towanda Ave Ste 17, Bloomington, IL 61701-7415 | |
(309) 828-6200 | |
Not Available |
Full Name | Jaclyn Lawfer |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 5 Years |
Location | 1210 Towanda Ave Ste 17, Bloomington, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245886647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038.013465 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peoria Spine And Sport Ltd | 9234562794 | 2 |
Provider Name | Peoria Spine And Sport Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134764517 PECOS PAC ID: 9234562794 Enrollment ID: O20191214000236 |
Mailing Address | Practice Location Address |
---|---|
Jaclyn Lawfer, DC 316 E Edgewood St, Morton, IL 61550-2534 Ph: (815) 266-9619 | Jaclyn Lawfer, DC 1210 Towanda Ave Ste 17, Bloomington, IL 61701-7415 Ph: (309) 828-6200 |
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