Organization
EJL DCH INC
Active
Other names
Lauterbach Chiropractic & Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J LAUTERBACH D.C. (PRESIDENT)
(434) 591-0900
Entity
Organization
Contact information
Practice address
202 TURKEYSAG TRL, SUITE 5, PALMYRA, VA 22963-2656
(434) 591-0900
(866) 836-8883
Mailing address
202 TURKEYSAG TRL, SUITE 5, PALMYRA, VA 22963-2656
(434) 591-0900
(866) 836-8883
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001713
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ANTHEM
462513
VA
Enumeration date
08/11/2006
Last updated
08/22/2020
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