Individual
DR. LAWRENCE DELRE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
109 FAWCETT CHURCH RD, BRIDGEVILLE, PA 15017
(412) 260-8483
(412) 542-1560
Mailing address
109 FAWCETT CHURCH RD, BRIDGEVILLE, PA 15017-1510
(412) 260-8483
(412) 542-1560
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003005L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001642090
KEYSTONE/HIGHMARK
PA
05
—
01012490
—
PA
01
—
11335917
CAQH (CREDENTIALING)
PA
Enumeration date
11/18/2005
Last updated
11/23/2016
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