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Individual

DR. LAWRENCE HUMBERSTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
303 E ARMY TRAIL RD, STE 101, BLOOMINGDALE, IL 60108-2155
(630) 529-2225
(630) 529-0137
Mailing address
303 E ARMY TRAIL RD, STE 101, BLOOMINGDALE, IL 60108-2169
(630) 529-2225
(630) 529-0137

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005562
IL
111N00000X
Chiropractor
1123787
MI

Other

Enumeration date
09/26/2006
Last updated
05/24/2010
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