Individual
DR. LAWRENCE T WITHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1516 LITITZ PIKE, LANCASTER, PA 17601-6506
(717) 397-5810
(717) 397-0276
Mailing address
1516 LITITZ PIKE, LANCASTER, PA 17601-6506
(717) 397-5810
(717) 397-0276
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004222L
PA
111NS0005X
Sports Physician Chiropractor
DC004222L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011930370001
—
PA
Enumeration date
10/12/2005
Last updated
12/28/2011
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