Individual
DR. LARRY F WIDMER
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
1406
NM
111N00000X
Chiropractor
4829
AZ
111N00000X
Chiropractor
Primary
DC001742L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006314300001
—
PA
Enumeration date
10/03/2005
Last updated
12/28/2011
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