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Individual

NATALIE L. LANIEWICZ

Active
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Individual

NATALIE L. LANIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
OS015456
PA
207Q00000X
Family Medicine Physician
Primary
OS015456
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026896650002
—
PA
01
—
237182D7A
MEDICARE
PA
01
—
OS015456
UNRESTRICTED PA LICENSE
PA
01
—
OTO12722
D.O. TRAINING LICENSE
PA
Enumeration date
09/18/2010
Last updated
08/14/2024
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