Individual
DR. LAWRENCE D ROUGEUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS MA DC
Contact information
Practice address
715 EAST 37TH ST, ERIE, PA 16504-1727
(814) 456-4200
(814) 456-4200
Mailing address
715 EAST 37TH ST, ERIE, PA 16504-1727
(814) 456-4200
(814) 456-4200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003047L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010191140001
—
PA
01
—
341803
HIGHMARK BS BC
PA
Enumeration date
11/10/2006
Last updated
07/05/2010
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