Individual
DR. STUART EVAN LAKERNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
639 E MYRTLE AVE, TREVOSE, PA 19053-4640
(215) 355-8336
(215) 355-7550
Mailing address
639 E MYRTLE AVE, TREVOSE, PA 19053-4640
(215) 355-8336
(215) 355-7550
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
DC-4903-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LA1555713
CHIROPRACTOR
PA
01
—
LA700896
CHIROPRACTOR
PA
Enumeration date
03/22/2006
Last updated
05/12/2022
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