Organization
FIRST DC HOLISTIC MEDICAL CENTRE
Active
Other names
Lavanga Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL FRANK LAVANGA DC (CHIROPRACTOR OWNER)
(215) 364-1112
Entity
Organization
Contact information
Practice address
112 E PENNSYLVANIA BLVD, FEASTERVILLE TREVOSE, PA 19053-7843
(215) 364-1112
(215) 364-3231
Mailing address
112 E PENNSYLVANIA BLVD, FEASTERVILLE TREVOSE, PA 19053-7843
(215) 364-1112
(215) 364-3231
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003377L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1038026
ASHN
PA
01
—
1390763
HIGHMARK BLUESHEILD
PA
01
—
2080174000
PERSONAL CHOICE KEYSTONE
PA
01
—
2823869
AETNA
PA
01
—
3685273
AETNA
PA
01
—
381023
MAMSI
PA
01
—
4924929
CIGNA
PA
01
—
5017555
AETNA
PA
01
—
663095
ACN GROUP
PA
01
—
740993
FIRST HEALTH
PA
01
—
CAQH
CAQH
PA
01
—
N90763
AMERIHEALTH
PA
Enumeration date
05/08/2007
Last updated
08/22/2020
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