Organization
BRIAN E. LAWLESS D.C.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN EDWARD LAWLESS D.C. (OWNER)
(732) 842-7910
Entity
Organization
Contact information
Practice address
654 RIVER RD, FAIR HAVEN, NJ 07704-3244
(732) 842-7910
(732) 842-7810
Mailing address
654 RIVER RD, FAIR HAVEN, NJ 07704-3244
(732) 842-7910
(732) 842-7810
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00515900
NJ
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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