Organization
BAGNELL CHIROPRACTIC LIFE CENTRE
Active
Other names
Bagnell Chiropractic Life CTR.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE C BAGNELL D.C. (OWNER)
(215) 504-2711
Entity
Organization
Contact information
Practice address
301 CORPORATE DR E, LANGHORNE, PA 19047-8009
(215) 504-2711
Mailing address
301 CORPORATE DR E, LANGHORNE, PA 19047-8009
(215) 504-2711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004829L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352509
HIGHMARK
PA
Enumeration date
05/18/2006
Last updated
08/22/2020
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