Individual
DR. VINCENT LASORSA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3644 VALLEY RD, LIBERTY CORNER, NJ 07938
(908) 647-7766
(908) 647-7769
Mailing address
PO BOX 221, 3644 VALLEY RD, LIBERTY CORNER, NJ 07938-0221
(908) 647-7766
(908) 647-7769
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC004321
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0708760000
AMERIHEALTH PROVIDER ID
NJ
01
—
547417
AETNA PROVIDER ID
NJ
01
—
P1069614
OXFORD PROVIDER ID
NJ
Enumeration date
05/02/2006
Last updated
07/08/2007
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