# LAKERNICK FAMILY CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821284019
- **Authorized official:** DR. STUART EVAN LAKERNICK D.C. (OWNER)
- **Authorized official phone:** (215) 355-8336

## Contact information

- **Practice address:** 639 E MYRTLE AVE, TREVOSE, PA 19053-4640
- **Practice address phone:** (215) 355-8336
- **Mailing address:** 639 E MYRTLE AVE, TREVOSE, PA 19053-4640
- **Mailing address phone:** (215) 355-8336
- **Mailing address fax:** (215) 355-7550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN0400X | Neurology Chiropractor | — | NULL | Yes |
| 111NN0400X | Neurology Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2007
- **Last updated:** 05/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0825608000 | BCBS | PA |