Individual
EDWARD L LANWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
632 ANDERSON AVE, COOS BAY, OR 97420-1632
(541) 269-2525
Mailing address
632 ANDERSON AVE, COOS BAY, OR 97420-1632
(541) 269-2525
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 1650
OR
Other
Enumeration date
01/24/2007
Last updated
09/15/2010
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