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Individual

DR. LARRY D LEMIEUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
617 SHORE RD, SOMERS POINT, NJ 08244-2425
(609) 926-3800
(609) 926-3128
Mailing address
617 SHORE RD, SOMERS PT, NJ 08244-2425
(609) 926-3800
(609) 926-3128

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4090
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0524483000
AMERIHEALTH HMO POS
NJ
Enumeration date
07/07/2006
Last updated
08/27/2012
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