Individual
JOSHUA LAWLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
616 PARKVIEW DR, ELDRIDGE, IA 52748-9694
(563) 285-8230
(563) 285-5122
Mailing address
616 PARKVIEW DR, ELDRIDGE, IA 52748-9694
(563) 285-8230
(563) 285-5122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06836
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0487975
—
IA
01
—
06368
BLUE CROSS BLUE SHIELD
IA
01
—
06369
BLUE CROSS BLUE SHIELD
IA
05
—
1487975
—
IA
01
—
P00317060
RAILROAD MEDICARE
IA
Enumeration date
07/27/2006
Last updated
08/05/2013
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