Individual
DR. LANCE C BOSSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1837 GOUCHER ST, SUITE 1, JOHNSTOWN, PA 15905-9506
(814) 255-7292
(814) 255-6742
Mailing address
1837 GOUCHER ST, SUITE 1, JOHNSTOWN, PA 15905-9506
(814) 255-7292
(814) 255-6742
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007072L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016512680001
—
PA
Enumeration date
10/25/2006
Last updated
07/08/2007
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