Individual
TARAANNE KEATING LAWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
590 HIGHWAY 35, SUITE 1, RED BANK, NJ 07701-5048
(732) 796-0333
(732) 796-0335
Mailing address
590 HIGHWAY 35, SUITE 1, RED BANK, NJ 07701-5048
(732) 796-0333
(732) 796-0335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556531
VA
111N00000X
Chiropractor
38MC00680800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104556531
STATE MEDICAL LICENSE #
VA
01
—
38MC00680800
STATE MEDICAL LICENSE #
NJ
Enumeration date
05/24/2007
Last updated
01/09/2015
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