Organization
PROACTIVE PAIN RELIEF & WELLNESS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE R LAUSCH D.C. (OFFICE MANAGER/VICE PRESIDENT)
(717) 733-6866
Entity
Organization
Contact information
Practice address
11 LONG AVE, EPHRATA, PA 17522-9795
(717) 733-6866
(737) 733-6996
Mailing address
11 LONG AVE, EPHRATA, PA 17522-9795
(717) 733-6866
(737) 733-6996
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005653L
PA
111N00000X
Chiropractor
DC005668L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB0067
RAILROAD
PA
Enumeration date
07/25/2006
Last updated
04/14/2008
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