Individual
DR. LAWRENCE PHILIP NINESLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4051 CHESTNUT ST, EMMAUS, PA 18049-1013
(610) 965-0700
Mailing address
4150 SALEM DR, EMMAUS, PA 18049-3331
(610) 965-0700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007228L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02965600
BLUE CROSS ID
PA
01
—
1356859
BLUE SHIELD ID
PA
05
—
19667590002
—
PA
Enumeration date
02/12/2007
Last updated
07/09/2007
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