Lawrence Patrick Lawicki, DC | |
201 Concourse Blvd, Suite 102, Glen Allen, VA 23059-5640 | |
(804) 527-0092 | |
(804) 527-0211 |
Full Name | Lawrence Patrick Lawicki |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 20 Years |
Location | 201 Concourse Blvd, Glen Allen, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427269273 | NPI | - | NPPES |
0104556535 | Other | VA | VA STATE MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0104556535 (Virginia) | Primary |
Provider Name | New Jersey Spine & Disc Center,llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821395781 PECOS PAC ID: 6204017783 Enrollment ID: O20110217000385 |
Mailing Address | Practice Location Address |
---|---|
Lawrence Patrick Lawicki, DC 201 Concourse Blvd, Suite 102, Glen Allen, VA 23059-5640 Ph: (804) 527-0092 | Lawrence Patrick Lawicki, DC 201 Concourse Blvd, Suite 102, Glen Allen, VA 23059-5640 Ph: (804) 527-0092 |
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