Organization
LAWRENCE DELRE DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE DELRE D.C. (OWNER)
(412) 431-4470
Entity
Organization
Contact information
Practice address
108 HORIZON DR, VENETIA, PA 15367-1052
(412) 431-4470
Mailing address
108 HORIZON DR, VENETIA, PA 15367-1052
(412) 431-4470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1642090
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/02/2006
Last updated
08/22/2020
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