Individual
LAWRENCE PATRICK LAWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
201 CONCOURSE BLVD, SUITE 102, GLEN ALLEN, VA 23059-5640
(804) 527-0092
(804) 527-0211
Mailing address
201 CONCOURSE BLVD, SUITE 102, GLEN ALLEN, VA 23059-5640
(804) 527-0092
(804) 527-0211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556535
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104556535
VA STATE MEDICAL LICENSE
VA
Enumeration date
05/24/2007
Last updated
12/09/2008
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