Individual
JENNIFER ANN LAWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1729 JOHNSON ST, KEOKUK, IA 52632
(319) 526-3988
(319) 526-3989
Mailing address
1729 JOHNSON ST, KEOKUK, IA 52632
(319) 526-3988
(319) 526-3989
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06329
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1212993
—
IA
01
—
19688
BLUE CROSS BLUE SHIELD
—
01
—
49048
AMERICAN WHOLE HEALTH
—
Enumeration date
04/05/2006
Last updated
11/18/2013
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