Individual
DR. CHERIE LEE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2859 WOODWARD AVE, LOCK HAVEN, PA 17745-8547
(570) 753-8311
Mailing address
PO BOX 276, AVIS, PA 17721-0276
(570) 753-8311
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003422L
PA
174400000X
Specialist
AJ003422L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010848830001
—
PA
01
—
808657
FIRST PRIORITY HEALTH
PA
Enumeration date
08/19/2005
Last updated
08/12/2010
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