Individual
DR. LAWRENCE C. BAGNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 CORPORATE DR E, LANGHORNE, PA 19047-8009
(215) 504-2711
Mailing address
301 CORPORATE DR E, LANGHORNE, PA 19047-8009
(215) 504-2711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH6467
FL
111N00000X
Chiropractor
Primary
DC004829L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000187130901
UNITED HEALTHCARE
PA
01
—
0141730000
INDEPENDENCE BLUE CROSS
PA
01
—
892912
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/07/2006
Last updated
01/09/2014
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