Organization
PRO HEALTH SPORTS AND WELLNESS CENTER ROCKAWAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK LAWLOR DO (MD/OWNER)
(973) 627-7888
Entity
Organization
Contact information
Practice address
350 ROUTE 46, ROCKAWAY, NJ 07866-3827
(973) 627-7888
Mailing address
161 E MAIN ST, DENVILLE, NJ 07834-2647
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
08/25/2017
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