Organization
LAWRENCE CHIROPRACTIC AND REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY RYAN LAWRENCE DC (OWNER PRESIDENT)
(812) 479-8350
Entity
Organization
Contact information
Practice address
6231 E COLUMBIA ST, EVANSVILLE, IN 47715-4003
(812) 479-8350
(812) 479-8360
Mailing address
6231 E COLUMBIA ST, EVANSVILLE, IN 47715-4003
(812) 479-8350
(812) 479-8360
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001987A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200333820A
—
IN
Enumeration date
05/30/2007
Last updated
12/04/2014
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