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Individual

DERRICK LAWLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
161 E MAIN ST # 2, DENVILLE, NJ 07834-2647
(973) 627-7888
Mailing address
21 BAXTER LN, NEW WINDSOR, NY 12553-8938

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00717100
NJ
111N00000X
Chiropractor
X012518
NY

Other

Enumeration date
05/15/2014
Last updated
05/15/2014
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