Individual
EDWARD MURRAY LANZENDORFER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
210 4TH AVE, HASTINGS, PA 16646-0624
(814) 247-8440
Mailing address
210 4TH AVE, PO BOX 624, HASTINGS, PA 16646-0624
(814) 247-8440
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004592L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014426240001
—
PA
01
—
1467534
UMWA
PA
01
—
LA730186
BLUE SHIELD
PA
Enumeration date
01/09/2006
Last updated
07/08/2007
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